EACH Individual Membership Registration Form

Welcome to the EACH Membership registration page, please fill in your details below.

Member Details


Membership Type

Please note EACH Membership is a rolling membership so payment is for a year's membership from the date you join and make your payment.

Membership is non-refundable and membership types cannot be changed once paid for. Your membership type can change on renewal. 

Affiliate membership is only available to current members of WONCA or International Communication Association (ICA).
AMOUNT
83.00
TOTAL

AMOUNT
83.00
TOTAL

AMOUNT
104.00
TOTAL

AMOUNT
114.00
TOTAL

AMOUNT
83.00
TOTAL

AMOUNT
145.00
TOTAL

AMOUNT
186.00
TOTAL

AMOUNT
205.00
TOTAL

AMOUNT
145.00
TOTAL



Your affiliate membership:


Affiliate membership renewal date:


Please upload current documentation to support your membership application.  Please ensure your documentation meets the criteria below: 

  • Affiliation Membership - the documentation shows the name of the Affiliation, your name and the valid dates of the membership. 
  • PhD/ Undergraduate Student Memberships - the documentation shows the institution,  the course studying, your name and valid dates of studying.

Date of Birth


Profession

Please select one option from the following.


Primary Role

Please provide us with your Primary Role within your profession.


Other Role

As you have selected Other under Primary Role please can you specify below your role. 


National Representatives Contact

The elected National Representative (NR) and Deputy National Representative (DNR) of your country, if there is one, will contact you occasionally to keep you up to date with news and events local to you. They are also your voice on the Steering Committee.

National Representatives are voted in by the members of their country every two years. They sit on an Advisory Committee of EACH which meets twice a year to discuss important issues in their respective countries, share expertise and discuss in depth issues that are important to the development of EACH.


Associations

Please let us know if you are also a member of any of the below associations:


How did you hear about EACH?


How did you hear about EACH? Other


Voluntary Contribution

EACH has set up a fund to provide financial assistance for people to attend EACH activities including conferences and workshops. The beneficiaries of this fund are applicants who would otherwise find it difficult financially to participate in EACH activities. This might include, for example, people from less-developed countries, countries in financial difficulties and students.

We would like to encourage you to donate as much as you can to this fund so that we can help our fellow teachers and researchers from less privileged backgrounds.

If you wish to donate a different amount than the options shown below, please click here.

AMOUNT
25.00
TOTAL
AMOUNT
15.00
TOTAL

Billing Address


Summary

EACH complies with the UK General Data Protection Regulations (GDPR) in the collection, use and storage of your data.
If you would like to view our privacy notice please click here.

Terms and Conditions
By completing this online form I agree to become a member of the EACH and I am happy to receive communications from EACH regarding my membership, relevant events, activities and general medical oncology news and information. I understand my data will not be shared with third parties.


Payment


Thank You

Thank you for joining EACH.  You will shortly receive a confirmation email, together with your invoice. 


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