2020 Room Share Application Form

Are you registered for the 2020 Annual Meeting AND a current member of the ISMRM?*

Yes
No

Please register for the meeting and/or become a member BEFORE applying to be added to the Room Sharing service.

Applications from non-registrants and non-members will be discarded.

Member ID Number (5 digits)*

Note: You MUST be a 2020 member AND have a completed registration for the Annual Meeting to use this service. All applications are verified before posting.

Name*

First Last

Country of Origin*

Gender*

Male
Female

Email*

Current Institution Name*

Current Institution's Country*

Registered for:*

Your primary spoken language:*

Other languages you speak:

Other important information:

List information or requirements that a potential roommate should know about you. Leave blank if none.
Examples: allergies, accessibility needs, etc.
Maximum 250 characters.

Legal Notice*

BY FILLING OUT THIS FORM, you agree to adhere to the provision in the following disclaimer and you agree that you are here for purposes only related to the intention of the Room Share Service. Failure to use the Room Share Service in the manner prescribed by this disclaimer and the Code of Conduct will result in immediate removal, without warning, from the service.

Please click here to read the ISMRM Room Share Service Terms and Conditions

I have read and agree to the Terms and Conditions

Please note:

Your information will be added to the list within 1-2 business days. You will receive notification via email with your login information.

To remove your information from the list, send an email to roomshare@ismrm.org