EUROPEAN SOCIETY FOR HEALTH AND MEDICAL SOCIOLOGY

MEMBERSHIP APPLICATION FORM

Please complete this form electronically and send it automatically to the 

Secretary/Treasurer, Prof Michèle Baumann, at the following e-mail address:

michele.baumann@uni.lu

OR Print the form, complete and post with a cheque (in euros) made payable to Prof Michèle

Baumann (Secretary/Treasurer): 

Michèle BAUMANN
a.Professeure sociologie de la santé
Université du Luxembourg
Faculté LSHASE

Laboratoire INSIDE
B.P. 2
L-7201 Walferdange

Please pay by bank transfer the proper fee to the European Society for Health and Medical Sociology

on the following bank account (remember to indicate clearly your name and address):
 
   Banque et Caisse d'Epargne de l'Etat Luxembourg
    European Society for Health Medical Sociology
    IBAN: LU58 0019 2655 6767 3000
    BIC: BCEELULL

Application for ESHMS Membership or Renewal of ESHMS Membership

 I wish to apply for membership of the society and enclose/attach an electronic version

      of my Curriculum Vitae:

 I wish to apply for renewal of membership in the Society

We encourage you to support our Society by joining for a 2-year period to coincide with  our Congress

cycle and ensure that you receive early notification of the next Congress and any seminars/workshops.

Only  those   individuals  who  have  paid  their  ESHMS  Membership   Fee  will  qualify for the reduced

registration fee.  

Please indicate which option you require:

*The  subscription  to  the journal “Social Theory and Health” at a discounted rate (-20%) of € 63

  should be done by filling the enclosed form and sending the amount directly to the Palgrave.

   Macmillan as indicated.