Join the IHS¾ Subscription to Cephalalgia, published 12 times per year
¾ Free online access to Cephalalgia and The Neuroscientist via the IHS website¾ Access to the Online Learning Centre and the members’ pages of the IHS website¾ Entitlement to apply for IHS Fellowships¾ Early access to IHS guidelines and other publications¾ Reduced registration to biennial International Headache Congress

Membership application - declaration must be completed by all applicants:
Please accept my application for membership, and in the event of being accepted I hereby consent
to membership in IHS and will abide by the Memorandum and Articles of Association.
I certify that I am professionally engaged or interested in headache or related fields.
I have attached a copy of my current Curriculum Vitae (required)
I agree to the Company's request to send or supply documents and information to me in electronic form.
I agree to the Company’s request to send or supply a notice of ballot to elect Trustees of the Charity, associatedballot papers containing the names of each nominee and the position for which they have been nominated, and voting
documents to me via the Website.
Chosen Category of membership (please tick): Full membership

Online-only membership

Preferred website Username: ________________________ Preferred website Password: _________________________(to enable access to the members area (including Cephalalgia and Learning Centre) of the IHS website)
I certify that I am a clinical trainee or full-time student and aged 35 years or under, Date of birth:____/____/_____or a practising nurse specialising in headache, and am eligible for the reduced membership fee
Name in capitals and signature of applicant____________________________________________________________________________________________(Name in capitals)(Signature)

Address ________________________________________________________________________________________________________________________________________________________________________________________
Telephone: ______________________________________ Fax: ________________________________________
E-mail: _________________________________________ Specialty: ___________________________________
To keep our costs low, most of our communication is now done by email. Please ensure you provide an email address.

Method of payment
Membership is on a calendar-year basis. Membership fee for 2010: US$195 (full rate), US$ 99 (online-only rate [US$ 60from 1 July]), US$60 (clinical trainee or full-time student rate).
VISA
Eurocard/Mastercard
AmEx
Please charge my:Card no: ______________________________________________ Expiry date: _________________________Name (as on card): ______________________________________________________________________
Signature: ______________________________________________________________________________Your contact details will be included in our website members directory which is available ONLY to other IHS members. If you do
not wish to be included please tick here .
In the normal course of business, your details may be shared with IHS' associates. Please tick this box if you do not consent tothis .
Send to: International Headache Society, 41 Welbeck Street, London W1G 8EA UK.
E-mail: carol.taylor@i-h-s.org; Fax: +44 207 504 8788