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PLEASE SELECT A CATEGORY OF MEMBERSHIP:

Individual - low income country - new and current members ($10 US/year)Individual - Lower middle income country - current member ($30 US/year)Individual - Lower middle income country - new member ($35 US/year)Individual - Upper middle income country - current member ($83 US/year)Individual - Upper middle income country - new member ($100 US/year)Individual - current members ($130 US/year)Individual - current members - 2 year membership ($220 US)Individual - new members ($160 US/year)Individual - new members 2 year membership ($240 US)Not-for-profit organizational - low income country ($10 US/year(X) + $100 US/year)Not-for-profit organizational - middle income country ($83 US/year(X) + $400 US/year)Not-for-profit organizational ($1630 US)Student/Trainee ($75.00 US)(*) Patient/Consumer Volunteers ($75.00 US)For-profit organizational ($3275 US)
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[*]Eligibility for the Patient/Consumer Volunteer membership category is restricted to individuals who encounter HTA through their roles as patients, carers, or consumers, and who do not encounter HTA through paid employment. New members in this category are asked to submit a brief statement describing their involvement with HTA to the HTAi Secretariat.

Number of Individual Memberships:

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Only applicable to not-for-profit low and middle income organizational memberships (Regular for-Profit and not-for-profit organization automatically include five individual memberships)

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Journal Subscription

The official Journal of HTAi is the International Journal of Technology Assessment in Health Care and is available to all members of HTAi in electronic format with membership. The Journal is also available as a print subscription to members in high and middle income countries at cost, and at no cost to members in low income countries. The current cost for an annual paper subscription is $45 (U.S.) for high income countries and $36 (U.S.) for middle income countries.
I would like to receive the Journal in:

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If you would like to receive the Journal in electronic and print format, please select the category of membership that applies to you:

-- SELECT --I am a member from a high income country (additional $45/year)I am a member from a middle income country (additional $36/year)I am a member from a low income country (no additional cost)

 

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SECTION 1: ADDITIONAL MEMBER INFORMATION

What is your place of work when are doing or using HTA?

• HTA Agency or Organization
• Government or health policy making body (Ministry of Health, Health Authority, Public Health Agency)
• Health care centre or health provider organization (clinic or hospital)
• University or other academic centre
• Research Centre
• Industry (For profit sector)
• Industry (Not for profit sector)
• Insurance fund or company (For profit)
• Insurance fund or company (Not for profit)
• HTA or health policy consulting firm
• Self employed independent HTA or health policy consultant

Other (Please specify)

 

HTAi Annual Meetings

I have attended the:

• 2003 First HTAi Annual Meeting Canmore, Canada
• 2004 HTAi Annual Meeting in Krakow, Poland
• 2005 HTAi Annual Meeting in Rome, Italy
• 2006 HTAi Annual Meeting in Adelaide, Australia
• 2007 HTAi Annual Meeting in Barcelona, Spain
• 2008 HTAi Annual Meeting in Montreal, Canada
• 2009 HTAi Annual Meeting in Singapore

 

If you are not already a member are you interested in a joining an HTAi Interest Sub-Group on the following topics?

• HTA Producers and Scientists
• Coverage with Evidence Development (CED)
• Patient and Citizen Involvement
• Information Resources
• Ethical Issues in HTA
• Hospital Based HTA
• HTA in Developing Countries

 

Other than HTAi are you a member of, or affiliated with, any other international HTA related associations?

• Yes
• No

If yes please check all organizations you belong to.

• ISPOR
• Cochrane Collaboration
• IHEA
• EUnetHTA

Other (please specify):

 
SECTION 2: HTA in Developing countries questions

Title of your current position in your organization or business. Please indicate 'Self employed' if appropriate.

Are you or your institution involved with any HTA activities in developing countries?

• Yes
• No
• Not sure

Are you or your institution planning to participate in any HTA activities in developing countries?

• Yes
• No
• Not sure

Do you have areas of specific experience or interest in HTA? If you do could you please specify which.

Do you have an interest in any specific developing country or region? If you do could you please specify which.