International Society for Twin Studies


Application for ISTS Membership (new membership or renewal) 2017


Title:     First Name:    Last Name:
New Member:    Yes    No
For new members only:
Present position/reason for interest (Researcher, student, twin/multiple, parent of twin/multiple, other)

Address:

House/Building, Street:
Organisation:
Town:
State/County:
Country:
Zip:
Tel (inc country code):
Fax (inc country code):
Email:
I wish to receive print copies of Twin Research and Human Genetics and agree to pay an additional fee of AU$120

Membership Dues (please select the correct amount) and add AUD 120 if you wish to receive printed copies of Twin Research and Human Genetics:

Full Member: AUD 180 (+AUD 20 if paid by cheque)
Student Member: AUD 100 (+AUD 20 if paid by cheque)
Non-professional/Retired Member: AUD 140 (+AUD 20 if paid by cheque)
Postdocs may enrol as a student for a maximum of two years; as with all student membership, certification by their professor may be required.

Payment Method (please select one):

Credit Card

Visa    Master Card
Card No:
Expiry Date:
Card Holder Name:
Amount (AUD)
Bank Transfer

I have made a bank transfer (and covered the transfer expenses) of AUD on QIMR Berghofer Medical Research Institute account number 034 071 000425 of Westpac Bank, Brisbane Australia (Please ask the bank to include an identifier e.g. ISTS - Subscriber Name)

Cheque

I am sending a cheque, specified in my domestic currency, to the amount corresponding to AUD and made payable to 'ISTS'.

Cheque to be sent to:

Professor Nicholas Martin, International Society for Twin Studies
QIMR Berghofer Medical Research Institute, Locked Bag 2000
Royal Brisbane Hospital QLD 4029, Australia
E-mail: ists@qimr.edu.au
Fax: +61 7 3362 0101