The Australian Society for Biophysics
Membership Application Form

Dr Adelle Coster
Treasurer, ASB
School of Mathematics & Statistics
University of New South Wales
Sydney NSW 2052
Fax:  02 9385 7123
Membership in the Australian Society for Biophysics is open to scientists who share the purpose of the Society and who have educational or research experience or interest in biophysics or in an allied scientific field. The purpose of the Australian Society for Biophysics is to encourage development and dissemination of knowledge in biophysics.

This process requires the signatures of the applicant and their nominator.
Fill in the form and press "submit" to enter your details. You will then be presented with a page with your detail summary to print, sign and send/fax.

Title:
First Name:
Initials:
Surname:
Occupation:
Department:
Institution:
Street/PO Box:
Suburb:
State:
Postcode:
Country:
Email:
Phone:
Fax:
Areas of Research (up to three broad categories)
1:
2:
3:
Name of Nominator/Supervisor:

Membership Type

Payment

Your Total is $
Please indicate your method of payment: When you are finished please press Submit to send this form to the Australian Society for Biophysics.
You will be presented with a summary of the details submitted as well as information regarding your payment. You should then print this new page and send/fax it to the Treasurer.
Once your payment has been processed a receipt will be separately issued.

The Australian Society for Biophysics (ASB) is a not-for-profit society registered in Victoria under the Associations Incorporations Act 1981 as The Australian Society for Biophysics Inc (A0036881D). ASB is not registered for the GST so our clients cannot claim credits. The GST indirectly charged due to purchases we make is not recoverable.

Last updated on 28 September 2007