HOW TO JOIN THE SSBII NETWORK

As SSBII is a non-profit organisation, registration is FREE. Please note that by filling in this form you agree to your details being published on the website
Members are responsible for ensuring that their contact details are up to date

Please complete the following on-line form and submit to SSBII. Fields marked with an asterisk (*) are required fields.

Enter your information in the form below:

Title:	Professor Dr Mr Miss Ms Mrs
First Name*:
Last Name*:
Middle Initial:
Institution name*:
Address*:
Postcode*:
Country*:
Phone:
Email address*:
Homepage address in full (please include http://):
Type of work you are involved in:	--- Select on option --- Academic Biologist Clinician Industrial Surface Scientist
Other (please specify):
Research interests:
Data Protection*: Do you agree to have the details you submit published on the members page of the SSBII website?:
	Agree:
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