Become a member

The membership fee is 85 GBP (approximately 134 USD or 106 EUR, as of today the 18 May 2012), and valid for one year from date of submission. Please complete the following form, you will then be directed to the PayPal site for payment.

Personal details:
Title*	Dr Miss Mr Mrs Ms Prof	Institution
First Name*		Address 1*
Last Name*		Address 2
E-mail*		City*
Current Position		State / Province
Telephone	+	Postal Code*
Fax	+	Country*	Afghanistan Åland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia, Plurinational State of Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, the Democratic Rep. of the Cook Islands Costa Rica Côte d'Ivoire Croatia Cuba Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Isle and McDonald Isles Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Rep. of Korea, Republic of Kuwait Kyrgyzstan Lao People's Democratic Rep. Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macao Macedonia, the former YR of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory, Occupied Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Réunion Romania Russian Federation Rwanda Saint Barthélemy Saint Helena, Asc. and Tristan Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa Sth Georgia and Sandwich Isles South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan, Province of China Tajikistan Tanzania, United Republic of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Isles Uruguay Uzbekistan Vanuatu Venezuela, Bolivarian Republic of Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe
Password*		Verify password*
Please indicate your five main areas of interest (rate from 1 to 5, with 5 as the highest)
1 2 3 4 5 Human health / disease		1 2 3 4 5 Zoonoses / ecology
1 2 3 4 5 Vaccines		1 2 3 4 5 Cost benefit and health economics
1 2 3 4 5 Policy for control and prevention		1 2 3 4 5 Antivirals
1 2 3 4 5 Animal health / disease		1 2 3 4 5 Pandemic preparedness
1 2 3 4 5 Immunology		1 2 3 4 5 Epidemiology and surveillance
1 2 3 4 5 Viral structure and replication		1 2 3 4 5 Diagnostics
1 2 3 4 5 Other (Please specify)
Which viruses are your main interest?
Membership type
Price Description      85 GBP   Full isirv membership for one year      43 GBP   Student isirv membership for one year (validation required)      43 GBP   Developing nation isirv membership for one year (validation required) NOTE: This membership type must be validated by the isirv secretariat. Your current circumstances*: Academic      Public health / Government      Industry Please explain why you qualify for the discounted rate (maximum 45 words)*:
Please type in the security code.