Membership Application Form
  1. Given name(*)
    Please type your full name.
  2. Surname(*)
    Please type your full name.
  3. Title / Position(*)
    Please type your full name.
  4. Institution / Company
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  5. Country / Region
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  6. E-mail(*)
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  7. Telephone
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  8. Basic Background
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    CV of no more than 300 words
  9. Interest in contribution
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    Please indicate whether you would like to contribute actively and, if your main work is related to gambling research, to be considered as an academic committee member.
  10. Anti-Spam:
    Anti-Spam:
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