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BASEES Membership Application Form
Please complete this application form and then proceed to payment below.
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Your Details
Email Address
*
Your answer
First Name
*
Your answer
Last Name
*
Your answer
Title
*
Dr/Prof/Mr/Mrs/Ms/Other
Your answer
How would you describe your gender?
*
Woman / Female (including trans woman)
Man / Male (including trans man)
Other
Prefer not to say
Institutional Address
*
Your answer
Country of Origin
*
Your answer
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