BlueBook 2009.qxd:1 - European Society of Pathology
BlueBook 2009.qxd:1 - European Society of Pathology
BlueBook 2009.qxd:1 - European Society of Pathology
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
120<br />
Application for Membership <strong>of</strong> the <strong>European</strong> <strong>Society</strong> <strong>of</strong> <strong>Pathology</strong>.<br />
Country:<br />
Telephone:<br />
Telefax:<br />
Email:<br />
FIELDS OF INTEREST<br />
Date:<br />
Signature <strong>of</strong> Applicant:<br />
CONTINUED<br />
Please return this form to:<br />
The Office <strong>of</strong> the Treasurer<br />
Pr<strong>of</strong>. Dr. J.H.J.M. van Krieken<br />
Dept <strong>of</strong> <strong>Pathology</strong> (824 PA)<br />
P.O. Box 9101<br />
6500 HB NIJMEGEN<br />
The Netherlands<br />
Fax: +31 24 366 87 50<br />
Your acceptance as a member <strong>of</strong> E.S.P. will be confirmed in due time.<br />
This Application for Membership can also be downloaded from our website:<br />
http://www.Europathology.org<br />
!