New 2025 ISUCRS Membership Application Form

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ISUCRS MEMBERSHIP APPLICATION FORM

PLEASE FILL OUT APPLICATION FORM IN ITS ENTIRETY

MEMBERSHIP PROCESS AND DUES STRUCTURE

In accordance with our 2024 Revised ISUCRS By-Laws, the following membership options are available for new applicants:

New Member Application: Pay annual dues of $100 USD per year.
New Member Application: Pay 2-year dues of $185 USD.
Candidate Members [Fellows & Residents]: Pay annual dues of $50 USD per year.
Allied Health Professional Members: Pay annual dues of $50 USD per year.
Retired Surgeons: Pay annual dues of $50 USD per year.

Once your application is submitted, the Membership Committee will review and verify it.

If accepted, the ISUCRS Executive Director will provide you with a username and password to access the members-only platform on our ISUCRS website.

After two years of continuous membership (not applicable to candidate & Allied Health Professional Members), you will be invited to apply for ISUCRS Fellowship. Upon acceptance, you will receive an electronic fellowship certificate, with the option to receive a printed certificate at our next biennial congress if you attend.

Please note that if you are applying for an annual membership, your membership will be valid from the last quarter of 2024 through the end of 2025.

Application Type

Clear choice

Member - $100 [Annual membership fee]

Member - $185 [2 year membership fee]

Candidate Member - $50

Allied Medical Speciality Member - $50 [Annual membership fee]

Allied Medical Speciality Member - $50 [2 year membership fee]

Retired Member - $50 [Annual membership fee]

Name

Title

Sex

Male

Female

Other

If Other above

Preferred Mailing Address

Professional E-mail address

Personal E-mail address

Phone Number
(Please Include International Country Code and City Code)

If Other above

Graduated School of Medicine / Other

Please select

What type of Allied Health Professional Members are you?

Organization/Hospital

Department

As you have stated that you are currently a Fellow or Resident, in what year will you seize to be a one? e.g. 2025

How would you like your name to appear on your membership certificate?

Verification