Elections, Public Opinion and Parties (EPOP)
Membership Form

Membership Rates 2009
Non-Member of PSA:   £31/US$62*
Member of PSA:            £26/US$52*
Student Member:          £2*
*Includes annual subscription to the Journal of Elections, Public Opinion and Parties

Please complete the form below, print it out and post or fax it to the following address:
Customer Services Department
T&F Informa UK Ltd,
Sheepen Place,
Colchester,
Essex, CO3 3LP, UK.
Tel: +44 (0)20 7017 5000, Fax: +44 (0) 20 7017 5198
Offer Promocode: YM00101W

If you would prefer to be sent a pro-forma invoice, please use this request form

Information marked * is essential for registration and billing purposes. All other information is optional and will be purely for EPOP membership database and directory purposes.

*Name:

Country of Residence :

Citizenship (if other) :

Occupation:

Research Interests (please list):

Name of Institution/Organization/Business :

Highest Degree Held:

Bachelor's
Master's
Ph.D

Year Received:

University/Work Address:

Address Line 1:

Address Line 2:

Town/City:

Zip/Postal Code:

Phone:

Fax:

Email address:

Home Address:

Address Line 1:

Address Line 2:

Town/City:

Zip/Postal Code:

Phone:

Fax:

Email address:

*Preferred Mailing Address:

Home
University/Work

Please invoice me at:

Non-Member of PSA rate:
£31/US$62
Member of PSA rate:
£26/US$52
Student member rate:
£2

To keep up with JEPOP information, you can sign up to informaworld^TM to receive regular email alerts.

1. Sign up at www.informaworld.com/alerting
2. Visit the JEPOP website at
www.informaworld.com/JEPOP

Methods of Payment:

Payment enclosed
(Cheques or bank drafts should be made payable to Informa UK Ltd
and be drawn on a UK or US bank). Or

If you would like to pay by direct debit, please print out this page and a Direct Debit payments form (ignoring the reference section) and send to the address indicated on the form.

(Please note that if you do not have a UK-based bank account, you may not be able to use this option)

Or

Please charge: Visa Eurocard Mastercard American Express
(Please tick as appropriate)

Card No:

Expiry Date:

Security No:

  (last 3 digits from reverse of card, if applicable)

Signature:

Date: