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ANS Membership

ANS Membership

Help

HelpFor answers to frequently asked questions about the ANS online membership process, please click here. If you experience any problems with the online form, or require further instructions, the ANS Secretariat will be happy to answer your questions.

We are pleased to offer you a secure online ANS membership application. All credit card transactions are made using the eWay secure e-merchant facility, so that credit card details are processed via secure SSL encryption. Please note that online payment is only accepted by Visa and Mastercard.

All figures shown are in Australian dollars ($A). You may calculate the exchange rate relative to your currency here. Please note that for Australian members, 10% GST will automatically be added to the subscription rate.

Lastly, if you are uncomfortable submitting credit card details electronically (or don't have one) or your browser does not support SSL then please print out and mail the application form to the ANS. Manual credit card payments may also be faxed to 08 8362 0038 (overseas fax 61 8 8362 0038).

Membership Type:

Subscription rates for the year commencing January 01 are:
Are you renewing an existing membership, or is this a new ANS membership?

* if you are a student please fill out the student applicants section below.

Details:

With the exception of those fields marked optional, you will need to fill in all the fields below for the application to proceed.


Surname:
Given name/s:
Title:
Department (optional):
Institution:
Address (institutional address preferred - please enter N/A if not applicable to your address) :
Town (please enter N/A if not applicable to your address):
State:
Postcode/ZIP:
Country:
If other country, please specify:
Tel:
Fax (optional):
Email:

Privacy:

It helps the ANS if you allow this contact information to be made available to other ANS members, reputable scientific bodies and suppliers who may contact you regarding scientific topics and/or products. Please indicate below if you'd like your contact details to be made available.

You must fill in this section for the submission to be processed.

Do you wish your personal details to be included in the CD with PDF Register of Members (Details listed include name, institution, postal address, phone and fax number, email address, research theme and research interest)?
Do you wish your personal details to be included in an Online Register of Members (Details listed as above) should one be established in the future?

Research Area Themes:

Please tick the appropriate boxes.

A. Development and regeneration
B. Excitability and synaptic transmission
C. Sensory systems
D. Motor systems
E. Autonomic systems
F. Limbic, neuroendocrine and other systems
G. Glia
H. Cognition, learning and behaviour
I. Disorders and injury of the nervous system
J. New techniques in neuroscience
K. History of neuroscience and neuroscience teaching

Research Interest:

You may provide up to 3 keywords or a single line of text to indicate your current research interest.

Student Applicants:

Supervisor's name:
Supervisor's email:
Supervisor's telephone:

Comments:

Please enter any additional comments you may have.

Summary and Payment

Once you have carefully checked and are satisfied with all details on the online form, click the Continue button once only . This will process your details and calculate the total. You will be shown your processed details, and may then transfer to the eWay secure online payment facility where you will be able to enter your credit card details. Please note that we are unable to accept Diners Club or American Express. You will be transferred back to the ANS website upon successful payment.

Sure about your details?