Accessibility Tools

Member Registration

Personal Information

  • Full Name (Given name, last name)*:
  • You are member of which society?:
  • When have you been traveling fellow?:
  • Your travelling fellowship was to which society?:
  • Membership Type*:
  • If you have been Godfather, which year?:
  • Email Address*:
  • Password*:
  • Retype Password*:
  • Date of Birth*:
  • Gender*:
  • Degree:
  • Cell Phone:

Private Address

  • Address Line 1:
  • Address Line 2:
  • Country:
  • State:
    Please select Country to choose the State
  • City:
    Please select Country and State to choose the City
  • Zip:
  • Profile Photo:
    (Please upload only jpg, jpeg image. Maximum Size: 20MB)

  • Reset

Additional Details

  • Work information

    (It is recommended to enter your work location details as that will be displayed under "Find a Member" section.)
    • Practice Name:
    • Practice website:
      Ex.:http://www.google.com, http://google.com
    • Address Line 1:
    • Address Line 2:
    • Country:
    • State:
      Please select Country to choose the State.
    • City:
      Please select Country and State to choose the City
    • Zip:
    • Email Address:
    • Phone Number:
    • Fax:
    •  
  • Preferred postal address for Magellan Society* 
  • Are you happy for your profile to appear on the website?* 

The Traveling Fellowship is generously funded by

  • DJOrtho, LLC DJo
  • Vericel Vericel