Membership Checkout - International Neurological Ketogenic Society

Membership Information

You have selected the Full Annual - Low Income Countries membership level.

The price for membership is £25.00 per Year.

Do you have a discount code?

Username

Password

Confirm Password

Email Address

Confirm Email Address

Full Name LEAVE THIS BLANK

Already have an account? Log in here

Member Number

Full Name

Degree:

Please state your qualification

Affiliation

Address

Postcode / zip code

Country (these are LOW INCOME countries, if your country is not on the list please reselect your membership level here)

Telephone Country Code

Telephone

Do you wish to be included in the member directory?

Your photo

I am a:

Please state Physician role specifically

Please state role specifically

Please state Researcher role specifically

Please state your role

First Name

Last Name

Address 1

Address 2

City

County

Postal Code

Country

Phone

Card Number

Expiration Date

CVC

Discount Code

Processing...