Membership Registration Form

Please complete the form to submit your request.

*Indicates required fields

*Payment Type
 Online Credit Card (VISA and Mastercard only)
 Other Means  (Discuss other payment options with the ISB Treasurer)

*Please select a membership type
  Regular, 1 year, $75.00 USD
  Regular, 2 years, $140.00 USD
  Regular, 3 year, $205.00 USD
  Retired, 1 year, $50.00 USD
  Student, 1 year, $50.00 USD
  Low and middle income country, 1 year, $50.00 USD
  Reduced Student (Online IJB access only and no voting privileges), 1 year, $10.00 USD
  Reduced Low and middle income country (Online IJB access only and no voting privileges), 1 year, $10.00 USD
  Reduced Retired (Online IJB access only and no voting privileges), 1 year, $10.00 USD

Personal Information
*Title:
*Organization:
*First Name: Middle Initial: *Last Name:
*Address 1:
Address 2 (optional):
*City, State or Province, *Postal Code:
     
*Country:
*Field of Interest:
*Position:
*Qualifications:

Contact Information
*Email:
*Country Code & Area Code & Phone (daytime):
 
  Ext:
Country Code & Area Code & Fax:
 
Comments:
Commissions (please check any you wish to affiliate with)
Animal Biometeorology
Bio-physics of Adaptation and Response
Climate and Human Health
Climate, Tourism, & Recreation
Phenology

*Declaration
  I hereby request membership in the International Society of Biometeorology and I declare that I will uphold the scientific stature of ISB by adhering to scientific methods in pursuit of truth and wisdom in this field. I submit my electronic signature to this declaration by ticking the checkbox at the left of the statement.

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