Home » Test Payment

Test Payment

Username *
E-mail *
First Name
Last Name
Password *
Repeat Password *
I allow the website to collect and store the data I submit through this form. *
Student Member - 2 yrs - $50 / 2 Years
Note that Student Memberships require approval based on the student member providing evidence of their student status. A letter attesting to such from the student’s advisor on university letter head is sufficient indication of student status. This letter needs to be scanned and emailed to admin@fnirs.org.
Full Member - 2 yrs - $95 / 2 Years
Automatically renew subscription
Discount Code:
Applying discount code. Please wait...

Billing Details
Billing First Name*
Billing Last Name*
Billing Email*
Billing Company
If entered, this will appear on the invoice, replacing the First and Last Name.
Billing Address*
Billing City*
Billing Zip / Postal Code
Billing Country*
Billing State / Province