Become an allied member

This membership category is intended for non-physician professionals who support our mission and contribute to the field of neurosurgery in meaningful ways.

Please complete the form below and upload all required documentation. The ASBN Membership Committee will review your submission, and you will be contacted once the review is complete. Kindly allow up to 7 business days to receive a response regarding your membership verification.

Name

First Name

Last Name

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Phone

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Country of Residence

Current Role / Title

Organization or Institution

Areas of Expertise

Brief description of your professional work

Why are you interested in joining ASBN as an Allied Member?

In what ways do you hope to contribute to or engage with the ASBN community?

In which area(s) of ASBN are you most interested?

How did you hear about ASBN?

I confirm that the information provided is accurate to the best of my knowledge. I understand that Allied Membership is subject to review and approval by ASBN.

Yes