Registration & Payment

Thanks for your selection. Please complete all the relevant information in order to register as a member of ISPAH. The price for your selected membership is provided in the payments section below. A receipt will be emailed to you on completion.
Basic Information
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First Name *
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Last Name *
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Address Line 1 *
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Address Line 2
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State / County
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Country of Residence *
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Country
AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongoCosta RicaCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceFrench GuianaFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayNorthern Mariana IslandsOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe
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Zip / Postcode
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Which Region do you live in?
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Region
Select Your RegionEuropeanAfricanThe AmericasSouth East AsiaEastern MediterraneanWestern Pacific
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Telephone No
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Your telephone number shall only be used should you require any membership support from ISPAH
Account Information
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Email Address*
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This email is already registered, please choose another one.
Please note: Your email address should be a personal email address and not a work related one as you may move employers so you may want to ensure that your ISPAH communications go to another email address. When you update your email address all communications from ISPAH, including any newsletters, councils and networks subscriptions will also be automatically updated within 24 hours.
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Password *
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Please enter at least 6 characters.
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Please use atleast one uppercase character.
Please use atleast one numeric character.
Your password must be alpha-numeric with at least 1 uppercase letter
    Strength: Very Weak
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    Confirm Password *
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    Profile Picture *
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    Please Note: Your profile picture will be used for the members directory and your own personal profile. Please use a jpg, png or bmp head-shot picture which is ideally square i.e. 200px by 200px or similar. Do not use high resolution photos i.e. Apple iPhone photos as they cannot be processed by our systems. File size should be 300kb or less. 
    Professional Info
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    Job Title *
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    University / Institution *
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    Department
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    Website
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    How would you define your current career level? *
    Career Level
    Select OptionEarly CareerMid CareerSenior Career
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    Which of the following best describes your role? *
    Role Definition
    Academic/researchPractitionerPolicymaker
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    Confirmation
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    Marketing Acceptance
    I give permission for ISPAH to contact me via email regarding the society e.g ISPAH newsletter
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    Please note: Your contact details will not be shared with any 3rd parties
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    Terms & Conditions Acceptance
    I confirm I have read & agree with the ISPAH membership Terms & Conditions
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    Payment Options
    How you want to pay?
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    Payment Summary

    Your currently selected plan :
    Plan Amount : $
    Final Payable Amount: $
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