|
16.08.2007. |
According to the charter, to become a member of PASL, you should:
1.Fill out the member's declaration and post it to the address of The Main Board of PASL:
Department of Pharmeceutical Biochemistry, Medical Academy
ul. Mickiewicza 2 15-230 Bialystok, Poland
2. Transfer member's fee into the account of PASL (in 2000 it was 24 PLN = 6 Euro)
Account number of the Main Board of PASL in Białystok:
Bank PKO B.P. I/O Białystok
A/c No.: 10201316-821474-270-1
 |
POLISH ASSOCIATION FOR THE STUDY OF THE LIVER
MEMBER'S DECLARATION
|
YES, I want to be
admitted a member of
POLISH ASSOCIATION FOR THE STUDY OF THE
LIVER
| SURNAME |
|
| FIRST NAME |
|
| SCIENTIFIC TITLE |
|
INSTITUTION
|
|
ADDRESS
|
|
| PHONE |
|
| FAX |
|
| E-MAIL |
|
CORRESPONDENCE
ADDRESS |
|
(Please fill out in capital letters or print)
|