British Society for Investigative Dermatology - membership

Application form in PDF format.

Please complete the following form, print and sign and send to:
Dr Graham Ogg
Weatherall Institute of Molecular Medicine
University of Oxford
John Radcliffe Hospital
Headington
Oxford
OX3 9DS

Fax: 01865 222502

Surname:

Title:

Given Names:

Qualifications:

Present Post:

Address:

City & Post Code:

Telephone:

Fax:

e-mail:

Areas of interest, please give up to 5 key words

Name of proposer:

Address/Dept:

Signature:_____________________________

Date:_________________

Name of seconder:

Address/Dept:

Signature:_____________________________

Date:_________________

N.B. The proposer and seconder must be ordinary members of the British Society for Investigative Dermatology.

Your application will be considered by the BSID Committee, normally at the next AGM.

The annual membership fee is £20. Please submit a cheque (for £20.00, payable to: British Society for Investigative Dermatology) with this form.

To pay the fee in the future by standing order, please complete the mandate and enclose it with your application.

Alternatively, if you wish to pay by cheque each January, please download the renewal form and enclose this with payment.

meetings l membership l publications l careers l education l awards
about l contact l legal l links l site map