Membership Form

* Individual Memberships

Please note EACH Membership is a rolling membership so payment is for a year's membership from the date you join and make your payment.

Membership is non-refundable and membership types cannot be changed once paid for. Your membership type can change on renewal.

Affiliate membership is only available to current members of WONCA or International Communication Association (ICA).

For EACH Institutional Memberships please click here.

Payment System

Credit / Debit Card Payments Via Stripe Secure Payment Processor

* Title

* First & Last Name

* Your E-Mail Address

a confirmation email will be sent to you at this address

* Choose a Password

must be 6 or more characters

* Confirm Your Password

Date of Birth

(over 65 years old memberships)

Contact Telephone

Additional Email

* Job Title / Position

* Organization

* Profession

* Primary Role

Other Role

Your affiliate membership

ICA (International Communication Association)
WONCA (World Organisation of Family Doctors)

Affiliate membership renewal date:

* Supporting Document

Affiliate / PhD / Undergraduate Student Memberships

Please upload current documentation to support your membership application. Please ensure your documentation meets the criteria below:

Affiliation Membership - the documentation shows the name of the Affiliation, your name and the valid dates of the membership.
PhD/ Undergraduate Student Memberships - the documentation shows the institution, the course studying, your name and valid dates of studying.

* National Representatives Contact

I am happy for my contact details to be passed to my National Representatives
I do not want my contact details to be passed to my National Representatives and I understand that I will therefore NOT be made aware of local EACH events and information specific to my country.

The elected National Representative (NR) and Deputy National Representative (DNR) of your country, if there is one, will contact you occasionally to keep you up to date with news and events local to you. They are also your voice on the Steering Committee.

National Representatives are voted in by the members of their country every two years. They sit on an Advisory Committee of EACH which meets twice a year to discuss important issues in their respective countries, share expertise and discuss in depth issues that are important to the development of EACH.

Associations

Please let us know if you are also a member of any of the below associations:

AMEE (Association for Medical Education in Europe)
ASPE (Association for Standardized Patient Educators)
ICA (International Communication Association)
WONCA (World Organisation of Family Doctors)

* How did you hear about EACH?

How did you hear about EACH? Other

Voluntary Contribution

EACH has set up a fund to provide financial assistance for people to attend EACH activities including conferences and workshops. The beneficiaries of this fund are applicants who would otherwise find it difficult financially to participate in EACH activities. This might include, for example, people from less-developed countries, countries in financial difficulties and students.

We would like to encourage you to donate as much as you can to this fund so that we can help our fellow teachers and researchers from less privileged backgrounds.

If you wish to donate a different amount than the options shown below, please click here.

Donation Amount £

* Billing Address?

The Billing Address is different to the Member Address
The Member Address is the same as the Billing Address

Billing First Name

Billing Last Name

Billing Email

Billing Institution

Billing Address 1

Billing Address 2

Billing Town / City

Billing County / Region / State

Billing Country

Billing Postcode / Zip

Executive Board Permission

Contact Preferences

By Email
By Post
By Telephone