Application form for the affiliation to the European Menopause and Andropause Society

Official Name of your Menopause or Andropause Society:
Contact person Contact person First Last
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone
Email
Website of your Society
Website of your Society Congress/Conference
Type of organisation

Type of organisation Our organisation represents healthcare professionals and/or researchers in the field of midlife and post-reproductive health.
Institutional support

Attach Files

Please upload a letter of support from one of the following:

- National Menopause Society
- Professional Association
- University
References
Please provide two references from leading members (e.g. Board, Executive, or Advisory members) of EMAS, and/or ESE and/or IMS, including name, position, organisation and email
Meeting with Board members

Meeting with Board members We understand that, as part of the review process, applicants may be invited to attend an online meeting with representatives of the EMAS Board.
Our National Society for Menopause and Midlife Health hereby applies for official affiliation with the European Menopause and Andropause Society (EMAS).

We confirm that our aims and activities are aligned with those of EMAS—namely, the advancement of clinical care, research, and education in the field of midlife and post-reproductive health. Enclosed with this application are our society’s statutes/by-laws as evidence of these shared objectives.

We understand that affiliate societies are expected to:

1- Promote collaboration and exchange between our society and EMAS in the areas of education, research, and public engagement related to midlife and healthy aging.

2- Encourage awareness of EMAS activities and opportunities among our members.

3- Avoid scheduling major national events in close proximity to EMAS Congresses, out of courtesy and to support international participation.

4- Recognize that affiliation does not automatically confer EMAS member benefits to individual members of our society unless they are also members of EMAS.

As part of this partnership:

- Our society will be officially recognized as an EMAS affiliate and may organize national meetings under EMAS auspices at no affiliation fee.

- We will share EMAS materials and news, including educational resources and membership opportunities, with our members.

- Our members will be eligible for a 20% discount on individual EMAS membership.

- EMAS will offer visibility and promotional support for relevant activities of our society across its communication channels (e.g. newsletters, social media, and events).

We look forward to building a collaborative and mutually beneficial relationship with EMAS in support of evidence-based care and advocacy for women’s health in midlife and beyond.
Date Date / MM / DD YYYY
The President

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Please print name
The Secretary General

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Please print name
Please do not forget to enclose the statutes or by-laws as well as a membership list and a list of the Council/Board of your Society

Attach Files
Name Name First Last