DIRECT DEBIT APPLICATION FORM 2014 - The Nutrition Society

THE NURITION SOCIETY
Please send applications to: FAO: Debbie Maries, The Nutrition Society Membership Office, Customer Services, Cambridge
University Press, The Edinburgh Building, Shaftesbury Road, Cambridge, CB2 8RU, UK.
Tel: +44 (0)1223 347994; Email: memberservices@cambridge.org
DIRECT DEBIT APPLICATION FORM 2014
Membership of the Society is open to any person who has a genuine interest in the science of human or animal
nutrition.
I am applying to become a Full Electronic/Retired member of The Nutrition Society by Direct Debit. I undertake to
accept the rules and regulations in accordance with its Memorandum and Articles of Association. I understand that
Council has the right to reject or suspend my membership.
Signed______________________________________________________Date __________________
DETAILS OF APPLICANT (Please complete in block capitals or print)
Title: _________ Forename: _________________ Surname: ________________________
Address 1:
Address 2:
________________________________________________________________________
________________________________________________________________________
Postcode: ___________________________________ Country: _________________________
Telephone (incl std code):
Fax (incl std code):
Email: _____
__________________________________________________________
______________________________________________________________
____________________________________________________________________
Please tick if you do NOT wish to receive emails. The Nutrition Society will use this postal and email address for important
correspondence.
Which of the following best describes your place of work? (Please tick one)
□ Higher Education/Research □ NHS/Healthcare/Public Health
□ Government □ Media/Communications
□ Industry □ Self-Employed
□ Non-profit/Charity/Pressure Group
Which of the following best describes your job? (Please tick one)
□ Researcher/Research Co-ordinator □ PR/Media/Communications Specialist
□ Lecturer/Teacher/Professor □ Administrator/IT Specialist
□ Medical Doctor/Clinical Dietitian/Nurse etc. □ Statistician/Methodologist
□ Public Health/Health Promotions Specialist □ Product Development/Regulatory Affairs
□ Marketing/Sales/Customer Care
Would you like to join one of the Nutrition Society Themes and receive updates from the
Theme Leader?
□ Cellular & Molecular Nutrition
□ Public Health Nutrition
□ Whole Body Metabolism
If you join a Theme your details will be sent to the Theme Leader who will send updates and correspondence to you via email
Would you like to join either of the regional sections and receive information from them? If yes,
please tick below:
□ Irish Section □ Scottish Section
Please note that if you do not tick an interest in one of the sections, you will not receive information specific to that region of the
Nutrition Society and will not be eligible to vote in the regional elections.

Electronic Membership (PNS online only)
PAYMENT
Annual Membership Costs for 2014
By Direct Debit (£)*
□ 60
Retired Membership □ 20
British Journal of Nutrition
(BJN)
Nutrition Research
Reviews (NRR)
Public Health Nutrition
(PHN)
BJN, NRR & PHN
package
*All Sterling prices include VAT
OPTIONAL JOURNAL SUBSCRIPTIONS
Annual Journal Subscription costs for 2014 (Online only)
Sterling (£)*
□ 41.74
□ 20.87
□ 46.96
□ 93.91
** VAT at applicable rate will be added to all Euro fees
*Please send this application to The Nutrition Society Membership office (address at top of form). Membership runs from
January to December. You will receive an automated confirmation of your payment via email within 14 days. You will
receive your Welcome Pack and Membership Card by post in receipt of this form. If you have not heard back from us
within 14 days of submitting the form, please contact the Membership Office on tel: +44 (0)1223 347 994 or email:
memberservices@cambridge.org.