Membership application form

Candidate members must submit the application form with a dedicated CV demonstrating an interest in spondyloarthritis. Letters of support from two current full ASAS members are required.

Note: Fields marked with * are required.

Note: Please submit the form below and send the letter(s) of support to mail@asas-group.org

I apply for:

Full ASAS Membership

Associate ASAS Membership

Upgrade from associated to full membership

Name

Title

Current position

Institution

Address

City

State/Province

Country

Telephone

Fax

E-Mail

Name of a mentor (associate ASAS members only)

Names of the full ASAS members who provided letters of support (first time application only)

Professional career (list the major steps, e.g., 1980-1986 – Medical School …):

Expression of interest in spondyloarthritis (based on past, current and/or planned research activities):

Publications (last 5 years):

Please enter the code:

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Note: Please fill out the fields marked with an asterisk.

Contact

ASAS

Korte Raarberg 46

6231 KR Meerssen

The Netherlands (NL)

Administrative secretary:

Femke Hoekstra

(secretary to the ASAS-president)

Kristel De Boeck

(assistant to the ASAS-treasurer)

mail@asas-group.org

Note

Please send documents regarding finances

to the ASAS-treasurer.

ASAS-treasurer

Filip van den Bosch

Smesstraat 50

9140 Temse

Belgium (B)