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Step 2 - 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.

New Account Details
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Email Address
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Password
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    Strength: Very Weak
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    Confirm Password
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    Profile Picture
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    Your profile picture will be used for the members directory and your own personal profile. Please use a jpg, jpeg, png or bmp head-shot picture. 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 and the image size should be no greater than 500px by 500px. You will have the option to crop the image if you wish to do so.
    Personal Details
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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
    Please select your countryAfghanistanAlbaniaAlgeriaAmerican 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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    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
    Student Verification
    Please provide a scanned copy of your Student card or ID verification. This will be reviewed by our membership team to verify your membership status
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    Student ID Upload
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    Student ID Number
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    Institution
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    Department
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    Website
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    Career Level
    Select OptionEarly CareerMid CareerSenior Career
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    Councils
    GoPA
    Global Observatory for Physical Activity - GOPA!
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    Sedentary Behaviour Council
    Sedentary Behaviour Council
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    Epidemiology Council
    Epidemiology Council
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    LMIC Research Council
    LMIC Research Council
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    Council on Environment & Physical Activity
    Council on Environment & Physical Activity
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    Agita Mundo
    Agita Mundo
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    Networks
    ECN
    Early Careers Network
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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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    How you want to pay?
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