Application for Full / Affiliate Membership

Name of the Society

Year of Establishment

Number of Members

Address

Country

Phone

Fax

E-mail

Website

Name of Applicant

Position of Applicant in the Society

A copy of the Constitution of the Society

A Statement of its Qualification for Membership

A List of Officers

Name

Surname

E-Mail

President

Secretary

Treasurer

Senior Delegate

Second Delegate

Alternate Delegate

A List of All Members of the Society

Recommendation Letter from the President or Secretary of Continental Society of the region you belong to (Please click here to see 5 Continental Societies - AANS, AASNS, CAANS, EANS, FLANC)

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