Membership application- Standard membership

Adherent application

Publisher University/Institute/Department Association/Society/Organisation

	I confirm That I agree with the PIE guidelines and its code of conduct
	I confirm that I shall adopt the Ethical Rules of Disclosure of the Association for Medical Ethics

Please select, from the above panel, the type of establishment you represent.

Before proceeding with your application, please note the following:

1. Applications for the “publisher” category is required to be made by the director or other senior executive members of the publisher.

2. Applications for “University /Institute / Department” category is required to be made by individuals at the level of provost/president/vice-provost/vice-president (in case of university), dean/vice-dean (in case of institute/college), head of department (in case of university/institute/college department) of these establishments.

3. Applications for “Association / Society / Organisation” category is required to be made by the director/chairman or other senior executive members of these establishments.


Contact information
	Title
	First Name

	Middle initial

	Last name

	Position in publisher
	Name of publisher

	City
	Country
	Email address

	Confirm email address
	Password
	Confirm password


Useful links about the publisher
	About the publisher:
	The publisher’s team (if applicable):
	The publisher’s board of trustees (if applicable):
	The publisher’s ethics statement:
	The publisher’s journals’ page:
	The publisher’s contact page:

The publisher ‘s central office address
	Line 1:
	Line 2 (if applicable):
	City:
	Postcode:
	Country
	Email:
	Fax (if applicable):


Please accept the terms and conditions (by ticking all the boxes) at the beginning of this application