Membership Application

Note: Please contact us to submit membership applications for more than one person; and/or pay via credit card if you are unable to use the online payment option in your country.

Fields marked with an * are required

First Name: *

Last Name: *

Address Line 1: *

Address Line 2:

Address Line 3:

Address Line 4:

City:

County / State: *

Postal Code / ZIP Code: *

Country: *

Phone Number: *

Email *

Year of Birth: *

Membership Type applied for: *

Climacteric Journal Delivery Preference *

Title:

Profession: *

Experience in the menopause field (research, clinic, etc.):

Specific area of interest (osteoporosis, chronic disease, skin, etc.):

Other areas of interest:

Are you a member of any other menopause societies? *

For Full and Associate members: I confirm that I meet the following criteria of a health care professional as defined for the purposes of IMS membership: A healthcare professional is defined as a scientist, physician, pharmacist, nurse, midwife, allied health care worker (e.g. dietitian, occupational health therapist, physiotherapist, nutritionist), health educator or similarly qualified individual with a degree and/or a professional license in a healthcare field.

I agree to become a member of the IMS. *

I understand that the membership fee is payable annually. *

The IMS will only process your data for membership purposes. The IMS has a contractual obligation to process categories of personal data required to ensure membership can be maintained. Separate consent is required for marketing purposes. You may withdraw your consent at any time. The IMS is unable to stop certain communications for administrative purposes.

For further information about the IMS Privacy Practices please follow this link to the Privacy Notice https://www.imsociety.org/privacy-policy/

Note: Please contact us to submit membership applications for more than one person; and/or pay via credit card if you are unable to use the online payment option in your country.

Install International Menopause Society - DEV