New Membership Application

Name

Last Name

Affiliation

Address

City

State

Postal Code

Country (please write country name in full)

E-Mail

Telephone Number

Position

Are you an Early Career Scholar? (Early Career Scholar is defined as a graduate / postgraduate student as well as individuals who are within three years of receiving a graduate / postgraduate degree.)

Please select your membership choice:
1 year membership, 1 year membership + IJHS subscription, or 2-year membership

Please select your payment choice: pay in euros via credit card or pay in euros via PayPal