1. Applicant full demographic details
2. Applicant CV
3. Applicant publications, with full references including Journal, all authors and full title. (regular member only)
4. A written statement from one sponsor as to the qualifications of the candidate including the Name and e-mail address of the sponsor. The reference letter of the sponsor should be sent to: membership@espr.info
5. Payment Details

Please note that your application will be officially approved at the Annual Business meeting.

Should you be unable to complete the application form, please contact:

ESPR Membership Services
c/o Kenes International
1-3, Rue de Chantepoulet, P.O. Box 1726
CH-1211 Geneva 1, Switzerland
Tel: +41 22 906 9156, Fax: +41 22 906 9140
E-mail: membership@espr.info

Regular Membership
	Active Member (including subscription to Pediatric Research)
	Active Members from Countries Supported by ESPR (excluding subscription to Pediatric Research) Please click here for the list of countries
	Emeritus Member (including subscription to Pediatric Research)
	Emeritus Member (excluding subscription to Pediatric Research)
	Senior Member (including subscription to Pediatric Research)
	Active Member under 36 (first two years) (including subscription to Pediatric Research)
Associate Membership - ESN
	Membership (including subscription to Pediatric Research)
	Membership (excluding subscription to Pediatric Research)
	Associate Members from Countries Supported by ESPR (excluding subscription to Pediatric Research) Please click here for the list of countries
Affiliate Membership - SPR / ASPR
	Membership (for SPR members Pediatrics Research is available through the SPR membership)
	Surname / Family name: E-mail address:
	=required field