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British Chapter of the ISMRM membership
This a form to register your annual membership of the British Chapter of the ISMRM.
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* Indicates required question
Email
*
Your email
First name
*
Your answer
Family name
Your answer
Institution
*
Your answer
City
Your answer
Primary discpline
Clinician
Basic Scientist
Radiographer or technician
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Membership type - only full members need to be members of the ISMRM/SMRT
Full member (must be a member of ISMRM or SMRT; eligible for members rates, students of full members are eligible for stipends)
Student member (must be registered for a degree, non-voting)
Associate member (non voting)
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For full members only: ISMRM membership number
Your answer
For student members: name of supervisor who you should ask to send a simple email to penny.gowland confirming your status and expected date of completion of your PhD
Your answer
For student members: Expected date of completion of PhD
MM
/
DD
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YYYY
Sex (optional)
Female
Male
Other
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Nationality (optional)
Your answer
A copy of your responses will be emailed to the address you provided.
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