Form for New and Renewing Members

To pay online, please complete this form and submit as instructed. Information submitted through this website is secure. 

Payment may also be made by submitting a copy of this form, along with check or money order (USD), to the IEIIS Treasurer by mail to:
       Amy G. Hise
       Dept of Pathology
       Case Western Reserve Univ
       2109 Adelbert Rd, BRB 428
       Cleveland, OH  44106-4983  USA

Questions or problems with your membership submittal? Contact

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Exact mailing address is required for mailing of IEIIS membership card.


Annual memberships subscriptions expire December 31. Submissions received on or after October 1 will automatically include the following year.

Change in Membership Status?

Check here if this is a status change (eg, from Student membership to Active membership)

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If Active Membership Was Chosen

Active Membership includes 2 free Student Memberships. You are encouraged to take advantage of this opportunity. Provide student information below.