Register form
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Who can become a member:
Members of the Consortium will be organizations and individuals that agree with the mission and objectives of the Consortium and are, or intend to be, active in promoting or supporting access to medical abortion within the context of safe abortion.

Membership is free: there are no responsibilities and no rights. (Individual members do not need to have the formal backing of their organization). 

Benefits of registration
Registered members benefit from the unlimited access to the information package placed on the Website, under a password and login - to close information only for the members.
If already have an account, please Log In
Regional Network/ICMA member:
First Name: *
Family Name: *
Sex: Male Female
Date Of Birth:
Profession: Use CTRL + Click for Multiple Select
Other Profession:
Institution / Organisation:
Position: *
Address:
Telephone: *
Fax:
Email: *
Web:
Skype:
Country: *
City / Town: *
Postcode / Zip:
1st Prefered Language:
2nd Prefered Language:
Experience in the field of abortion in general:


Other:
Experience in the field of abortion in particular:


Other:
Can we give your name/e-mail address to other ICMA members for networking purposes?
Yes? No?
Declaration: I support the objectives of the International Consortium for Medical Abortion.
Choose your Password: *
Retype Password: *
Validation code *
  * - mandatory fields