Apply for EASE Membership

Complete this form to apply for EASE membership for 2024 now and your membership will be activated immediately. Those interested in Group membership should contact the Secretary.

You may choose the Reduced membership type if you are:

  1. A student or early careerist (one who has graduated within the past 5 years)   
  2. Retired and/or over 65 years of age: evidence of age is required
  3. Working in a low-income, lower-middle income, or upper-middle income country (as defined by the World Bank).

    Country:

    Membership type:*

    Please indicate why you have applied for reduced membership

    Sister society membership number:

    Please provide your society membership number if you have one.

    Title:*

    Pronouns:*

    First name:*

    Last name:*

    Gender:*

    Date of birth:*

    If you are using Safari and cannot see the calendar tool, please enter the date as yyyy-mm-dd.

    Organisation:
    If you're a student, please put the name of your academic organisation.

    Job title:

    Postal address:*
    Please provide your full international posting address in the appropriate format for your country.

    Phone:

    Mobile:*

    Email:*

    Note to EASE:

    Use of your information

    I agree to share my basic contact information with other EASE members
    For example, in the member directory and e-newsletter

    I agree to my basic contact information being available to the public on the EASE website and EASE social media platforms.
    For example, in a welcome message and for the ‘In the Spotlight’ feature

    Payment

    Select your payment method.