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International Society for Peritoneal Dialysis
www.ispd.org
2015 Membership Form
1.
Please Check One:
Start a NEW membership
2.
Select applicable option below*:
RENEW a membership
Other Healthcare Professionals
(Nurse, Dietitian, etc.):
MD or PhD:
$145.00 US (1 year)
$85.00 US (1 year)
$270.00 US (2 year)
$160.00 US (2 year)
$375.00 US (3 year)
$235.00 US (3 year)
Trainee/Fellow:
$60.00 US (1 year)
Please note any members registering on or after September 1st will only be allowed for a 2 or 3 year membership which will;

Include a pro-rated rate of 50% of the 1st year and access to PDI connect from Sep - Dec immediately and;

Will have the following year as well and gain access for a year on January
* See page 2 for membership inclusions, terms & conditions
3.
Select preferred Peritoneal Dialysis International journal option:
Print Only
4.
Online Only
Print & Online
Complete the shipping/contact information below:
First Name:
Last Name:
Company/Inst.:
Department:
Street:
City:
State/Prov:
Zip/Postal Code:
Country:
Phone:
Fax:
E-mail:
5.
Method of Payment (All dues must be paid in US$)
Check (checks should be made payable to the ISPD C/O International Society of Nephrology 340 North Avenue 3rd Fl Cranford, New
Jersey 07016)
Check #: ___________________
Credit Card: Charge $
Number:
Cardholder:
Dated: dd/mm/yyyy
Enclosed USD: ________________
USD to my:
Visa
MasterCard
American Express Card
Expiry Date:
Cardholder’s Signature:
Card Verification Code (CVC):
(3 digit code on back of card – required for Visa & MasterCard only)
Wire Transfer: please contact [email protected] for banking details
NOTE: An ISPD membership cannot be subsidized by an industry sponsor. ISPD rates are available only for purchase by
individuals or their institution.
6.
Send completed form by FAX to +32 2 8084454, by E-MAIL to admin@ispd, or MAIL completed form and payment to:
International Society for Peritoneal Dialysis rue des Fabriques 1B – Brussels 1000 - BELGIUM
QUESTIONS? Call ISPD +1 5672514018 • E-mail: [email protected]
International Society for Peritoneal Dialysis
2015 MEMBERSHIP TERMS AND CONDITIONS
Membership Inclusions:
Print and/or online subscription to Peritoneal Dialysis International (PDI), the official journal of the International Society for Peritoneal Dialysis
(ISPD).
o Print subscription: Includes 6 regular issues of PDI, and supplements, which vary in frequency from year to year.
o Online subscription:
Includes access to full text of all archived and current issues of PDI. The full texts of all issues are fully searchable,
and each article includes hyperlinks to Medline, Google Scholar, and the online full-text of many other frequently
cited journals. Publish before print (PDI in Press) articles are available online to members as soon as they are
approved by the authors.
o Access to members only section of the ISPD website.
o Receipt of the electronic newsletter of your regional chapter if available.
o Special registration fees for all ISPD Congresses, ISPD Chapter Meetings and the Annual Dialysis Conference (organized by
the University of Missouri).
o Voting right in the General Meetings of the ISPD.
o Application for ISPD scholarship and research grants.
Important Notes:
Any members registering on or after September 1st will only be allowed for a 2 or 3 year membership which will;

Include a pro-rated rate of 50% of the 1st year and access to PDI connect from Sep - Dec immediately and;

Will have the following year as well and gain access for a year on January
PDI Print Edition:
Rate includes shipping by surface mail.
PDI Online Edition:
Who Can Access the Journal: A member online subscription is an individual license and is for your personal use only. Sharing your
Username and Password is not permitted.
Activation Process: Online access is provided by a username and password that you will receive at the time of enrollment to the ISPD
membership. For more details, please contact [email protected]
Access to Back Issues: A member online subscription includes access to current year plus all available back issues online.
www.ispd.org