Student Member signup form

* Membership Type

Membership - Student Member Free for 15 months Open to full-time students only. All the rights of Full Membership except voting and holding elected office. Will also be put on the local mailing list to electronically get the local newsletter and any other local mailings.

* First & Last Name

* Full correspondence name

Full name with title eg. Dr. A. Smith CBE FRS

* Your E-Mail Address

a confirmation email will be sent to you at this address

* Confirm Your E-Mail Address

* Choose a Password

must be 6 or more characters

* Confirm Your Password

Your details

Department

Institution/company

Contact telephone

Your course

Name of supervisor

[Students only] must provide the name of supervisor that can confirm student status

Supervisor Email Address

[Students only] must provide email address of supervisor so that we can check student status

Student Course End Date

[Students only] End date of student course

Work Address Information

* Street

Street (Second Line)

* City

* County

* Postcode

* Country