IHS Membership Application Form:  
  1.0 Your CV

As part of the application process you need to submit a copy of your CV either Word or PDF format.

Please email your CV to carol.taylor@i-h-s.org

If you cannot email your CV you can post it to:

Carol Taylor
International Headache Society
41 Welbeck Street
London
WW1G 8EA, UK
 
  2.0 Application Form
Salutation:
First Name:  Family Name:
Qualifications:
Address1:
Address 2:
Address 3:
Address 4:
Town/City:  State:  Zip:
Country:
Email:  Tel:  Fax:
Website Username:  Website Password:

Membership:

*If you are not already an AHS member you can also join
the American Headache Society as an online-only member
at the preferential rate of $90! Provides online access
to 'Headache'.
Join AHS:
Join AHS $90 (N/A to IHS students / juniors) 

Specialty:  e.g. Neurology

*You must indicate at least one area of interest!
Area Of Interest:
Purely Clinical
Basic Research
Clinical Research

Date Of Birth (If Student): *Format DD/MM/YYYY
Include in online directory: The online members directory is ONLY available to other IHS members.
Share with IHS Associates: In the normal course of business, your details may be shared with IHS associates.

How did you find us?:
Other:  *Please complete if you have selected 'Other'
                Accept: *Please accept my application for membership, and in the event of being accepted I hereby consent
to membership in IHS and will abide by the Society M&As
                Certify: *I certify that I am professionally engaged or interested in headache or related fields
IHS Documents: * I agree to the Company's request to send or supply documents and information to me in electronic form
          IHS Ballot: * I agree to the Company's request to send or supply the following to me via the Website:

 (i) A notice of ballot to elect Trustees of the Charity
(ii) Associated ballot papers containing the names of each nominee and the position for which they have been nominated
(iii) Voting documents