Member Application Form

Become a member

All applications are subject to the approval of the MSC-SMC.
 

A free year will be added to your selected membership!!!

An email will be sent to you within 24 hours of approval informing you of your additional free year of membership.

General information
Salutation:
First Name:
Last Name:
Address:
City:
Country:
Province:
Postal Code:
Email:
Comfirm:
Telephone: x
Cellphone:
Fax
University or Employer:
Position:
Department:
Lab or PI:
Education (Degrees, Diplomas, Institutions and Dates):
Field of Microscopy:
 Physical
 Materials
 Biological
 Biomedical
 Instrumentation
Other field: 
Specific Area of Interest:


Login credentials
Password: 6-10 chars.
Confirm password:

Membership Options:
  1 year5 years
Ordinary Member $40
$200
Retired Member $28
$140
Corporate Member $195
$975
Student (Need a validation by the supervisor) $15
$75
Associate Member $0
$0


Canadian Anti-Spam Legislation
I opt in to receiving emails as per the Canadian Anti-Spam Legislation.

Bulletin Newsletter
I do not want to receive the Bulletin newsletter (sent 3-4 times per year).

Donation to Canadian Foundation for the Development of Microscopy
The CFDM is a branch of the MSC to promote student development in microscopy fields.
Amount given to the CFDM: $

Payment
All fees are in Canadian Dollars.

I would like to receive a receipt



Name on card:
Credit card number:
Expiration:  
3 digit CVV number (on back):



© Copyright 2018 MSC-SMC. All Rights Reserved. Web Development by Adeo