Application for Membership of the British Society for the History of Medicine Annual Subscription The annual subscription is paid by Standing Order. After completion of the application form and receipt of this by the BSHM secretary, the BSHM treasurer will contact you with the details to set up a Standing Order. BSHM Information () Information about the benefits of affiliation and the BSHM constitution can be viewed at: and Please post completed form to: Dr Martin Edwards Memberships Secretary British Society for the History of Medicine 127 Pepys Road, London SE14 5SE E mail: NB Completed forms which have been signed and then scanned and saved as a PDF can be emailed. PLEASE NOTE: Under the Data Protection Act, any personal information you supply will only be used for the purposes of the business and administration of the British Society for the History of Medicine (BSHM) and will not be communicated to any other organisation. Please tick the box to confirm that you are happy for your email address to appear in a list of members (available to members only)
Application for Membership of the British Society for the History of Medicine Annual Subscription The annual subscription is paid by Standing Order. After completion of the application form and receipt of this by the BSHM secretary, the BSHM treasurer will contact you with the details to set up a Standing Order. BSHM Information () Information about the benefits of affiliation and the BSHM constitution can be viewed at: and Please post completed form to: Dr Martin Edwards Memberships Secretary British Society for the History of Medicine 127 Pepys Road, London SE14 5SE E mail: NB Completed forms which have been signed and then scanned and saved as a PDF can be emailed. PLEASE NOTE: Under the Data Protection Act, any personal information you supply will only be used for the purposes of the business and administration of the British Society for the History of Medicine (BSHM) and will not be communicated to any other organisation. Please tick the box to confirm that you are happy for your email address to appear in a list of members (available to members only)
BSHM-Application-Form-Feb-2017-final.docx