In order to apply for ISZB membership, please fill-in the form below. This will be forwarded to our membership committee. Once your membership will be approved you will get an e-mail with a notice and a link to our membership payment page.

Membership fees for 2008 are $50, payments are done via the PayPal secured website. You will be transferred to that site using a link that will be provided in the e-mail sent by the membership committee. 

ISZB respects the privacy of the applicants and is committed to protect personal information of the applicants and members. All the data will be used for internal ISZB purposes only and will not be forwarded without consent of the applicant to a third party.

 

 

Given Name:

Last (Family) Name: 

 

Title:  PhD MD MSc Ms. Mr.

Affiliation:

Work address:  

Phone: 

Fax : 

 

e-mail: 

 

          Regular member             Student member

 

Name two ISZB members that will support you membership: 

 

Curriculum Vitae

Position title:

Education:

Institution                                Degree                Years                Field of study

     

 

Insert selected peer review publications:

 

 

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