Membership Application Form
Application Information

Please select the title of your preference *

Your Last Name *

Your First Name *

Your Affiliation:  Place of Study and/or Employment (Roskilde University) *

Your Email *

Your Phone Number: Landline (Please include your country code)

Your Postal Address: Please include the street, house/apartment no., zip code, city, and country *

Your Background

In the space provided, please give a short professional description of yourself.  Please include such as your specific areas of interest, academic degrees, and professional goals. (100 word maximum) *

For our records, please tell us your primary area(s) of interest (e.g. suicide letter analysis). *

Payment Method

Please select the method of payment you prefer. *

After we have received your application, we will contact you with the payment details.

You're almost done!  To complete the application process, simply click the Continue button and then SUBMIT.

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