membership application form

Please either download and print off the Membership Application Form, or complete the online form below. You will note that this form requires both application details for yourself as well as sponsor support. Once complete, these forms should be sent to the ISHA Membership Secretary, as follows:

Mr. Tony Andrade
Email: secretary@isha.net

Please note that you are not expected to pay any fees until your Membership has been accepted, but please keep a careful record of the payment details which can be found on the Membership Application Form.


     

N.B. If Membership is accepted, the following details will appear on the web site as part of the Membership List, accessible to ISHA Members only:

Full name, Country of work, City/town of work, contact email address

Are you happy for this information to appear on the web site? (Please select one)Yes     No

"The International Society for Hip Arthroscopy has agreed to treat the entire contents of this application, including all inquiries or investigations made pursuant thereto and all fruits thereof as privileged and confidential materials not subject to publication, dissemination or private or in camera inspection. In consideration of that Confidentiality Agreement I make the following agreement. I specifically authorise the Society to make whatever inquiries and investigations it deems necessary to ascertain and verify my qualifications, credentials, professional standing and moral or ethical character. I further covenant and agree that I will not seek or cause to attempt to seek or cause any disclosure of production, whether private, public or in camera of the contents of any application file of any candidate for membership in the Society of whatever classification, including proceedings of the Board or any Committee pursuant thereto, or the products, fruits, or sources of any inquiries or investigations made pursuant hereto whether said disclosure be by operation or process of law or otherwise. Processing and consideration of the application will involve participation by numerous members of the Society on behalf of the Society; all activities concerning such processing and consideration shall not be considered to be a disclosure, production, inspection, nor dissemination by the members of the Society participating therein. In further consideration of the Society's processing and consideration of this application, I specifically covenant and agree that I will not commence, bring or institute any proceedings, suit or action in any court or other tribunal or forum directed against or to the Society or any member thereof in any way concerning, pertaining to or arising out of the consideration, processing, rejection, deferment, acceptance or other handling of this application for membership in the Society or any of the inquiries or investigations conducted in connection therewith."

Please tick the box to accept the above terms

All applicants who are applying for membership must supply this sponsor form, which must be completed by the proposer, who should be an Ordinary Member of ISHA. A seconder is also required to sign, but not necessarily to insert comments unless they wish to do so. All answers and additional comments are confidential.

by ticking this box I confirm that I am submitting this form on behalf of myself and not for anyone else.

by ticking this box I confirm that I am submitting this form on behalf of myself and not for anyone else.

The annual membership fees are due May 30. All members will be notified by email approximately four weeks earlier to pay their fees. For initial membership applications, the following payment, in Swiss Francs (SFr), will be required once an application for membership has been accepted, quoting your individual reference number (see below). Membership cannot be confirmed until this payment has been received. Please do not pay the membership fee until you hear that your application has been successful.

Ordinary Membership: 300 SFr
Associate Membership: 175 SFr
Affiliate Membership: 100 SFr
Honorary Membership: gratis
Emeritus Membership: 100 SFr

N.B. Please note that all bank dues, including commissions, are the responsibility of the member, so please allow for these with your payment.