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Radio Science Bulletin 313 - June 2005 - URSI

Radio Science Bulletin 313 - June 2005 - URSI

Radio Science Bulletin 313 - June 2005 - URSI

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APPLICATION FOR AN <strong>URSI</strong> RADIOSCIENTISTI have not attended the last <strong>URSI</strong> General Assembly, and I wish to remain/become an <strong>URSI</strong><strong>Radio</strong>scientist in the <strong>2005</strong>-2008 triennium. Subscription to The <strong>Radio</strong> <strong>Science</strong> <strong>Bulletin</strong> is includedin the fee.(please type or print in BLOCK LETTERS)Name: Prof./Dr./Mr./Mrs./Ms. ______________________________________________________Family Name First Name Middle InitialsPresent job title: _________________________________________________________________Years of professional experience:____________________________________________________Professional affiliation:____________________________________________________________I request that all information, including the bulletin, be sent to my home business address, i.e.:Company name: _________________________________________________________________Department: ____________________________________________________________________Street address: ___________________________________________________________________City and postal / zip code: _________________________________________________________Province / State: __________________Phone: _______________________Country: ____________________________________ext: _________ Fax: _______________________________E-mail: ________________________________________________________________________Areas of interest (please tick)A Electromagnetic Metrology F Wave Propagation & Remote SensingB Fields and WavesC Signals and SystemsG Ionospheric <strong>Radio</strong> and PropagationH Waves in PlasmasD Electronics and Photonics J <strong>Radio</strong> AstronomyE Electromagnetic Noise & Interference K Electromagnetics in Biology & MedicineThe fee is 50 Euro.(The <strong>URSI</strong> Board of Officers will consider waiving of the fee if the case is made to them in writing)Method of payment: VISA / MASTERCARD (we do not accept cheques)Credit Card NoExp. date: _________Date: _________________ Signed __________________________________________________Please return this signed form to:The <strong>URSI</strong> Secretariatc /o Ghent University / INTECSint-Pietersnieuwstraat 41B-9000 GENT, BELGIUMfax (32) 9-264.42.88116The<strong>Radio</strong> <strong>Science</strong> <strong>Bulletin</strong> No <strong>313</strong> (<strong>June</strong>, <strong>2005</strong>)

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