Membership Membership Form Membership Type Indicate the type of annual membership for which you are applying. Ordinary: ($5,000.00) Student: ($1,000.00) AREAS OF INTEREST (Tick all that apply.) Areas of Interest Research (Statistical Methods) Statistical Software Training Data analysis and/or interpretation PERSONAL DETAILS Full Name Academic Qualification Profession Organisation Address: Telephone:(Work) Telephone:(Cell) Fax (Home) Fax (Work) Email Completed application forms and membership fees or deposit slips for membership fee should be delivered to Office 6, Epidemiology Research Unit, 7 Ring Road, UWI, Mona, Kingston 7, e-mail: jamaica.statistical.soc@gmail.com. Membership fees may be deposited to NCB (UWI, Mona Branch) Acct 404221698. Submit If you are human, leave this field blank.