Full Membership Application Form

Contact Information

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Professional information

Including department (if applicable)

Contact preferences

We need at least one phone for you as we might have to contact you about your application

Membership Eligibility

Please indicate which best describes you. I am:

If you hold a registration not listed above please state. If you are working in academia with a PhD please state "N/A"

Confirmation of eligibility

As part of the application process your verifier will be contacted to confirm your eligibility for Full Membership. Your verifier should be your line manager, course tutor or supervisor.

(Line manager, supervisor, etc)

Interests
How did you hear about IPEM?
Paying your membership fee

If you choose to pay for your IPEM Membership by Direct Debit, please complete the Direct Debit Mandate below. Monthly Direct Debit is available from your second and subsequent years of membership. 

Details on ways to pay for your membership can be found on the IPEM website here.

If you are also a member of the Institute of Physics (IOP) you are entitled to 25% discount on your membership fee. Please state your IOP membership category: