Membership Number (if known):
Title :
First name:
Surname:
Job Title/Occupation:
Please note: All SSA memberships are personal – your home address is required for delivery of journals
Home Address line 1:
Home Address line 2:
Home Address line 3:
Home Address line 4:
Postcode:   
Country:  
Contact Telephone:
Email address:
Fax Number:
   
Please summarise briefly your relevant academic/professional experience or qualifications:

Payment Details


Annual fee still only £85 ($175 by US dollar cheque), including free subscription to Addiction and Addiction Biology.

Members joining/renewing from 1 July onwards receive all issues, July-December. Pay before 1 July to receive all issues for the year.

I will pay by:

Direct debit - Original signature required; UK banks only. Click here for direct debit forms
Cheque - please make payable to 'Society for the Study of Addiction' and send to the Executive Office address. Graham Hunt, Executive Office, 19 Springfield Mount, Leeds, LS2 9NG
Credit/debit card – send your card number, expiry date and security code to the Executive Office address, as above, or by email, phone or fax.

 

Journal choice (either/both included in standard fee):

Addiction Yes No
Addiction Biology Yes No