Société Francophone de Biologie Théorique French-speaking Society for Theoretical Biology

SFBT Membership Form

SFBT  [+] [v]

NAME:                           Given Name(s):
AFFILIATION and MAILING ADDRESS:

Phone:                          Fax:
E-mail:

Scientific activity and interests:

References of a few characteristic publications
(research, education, popularization, etc.):

• Joins the SFBT for the year             .
• Encloses a cheque of              euros payable to the SFBT.
  • 15 euros for students,
  • 25 euros for other members.
• Uses an intermediate organization (Accountant, Library, ...).
  Name and Address of this Organization (#):
• Other (specify):

• Wishes to receive a bill : [YES] [NO] (Delete which does not apply).

Date:                           Signature:

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This form and the possible order should be transmitted to

David Nerini (Trésorier de la SFBT)
Laboratoire de Microbiologie, Géochimie et Écologie Marines - UMR CNRS 6117
Centre d'Océanologie de Marseille
Campus de Luminy - Case 901
F-13288 Marseille Cedex 09

mailto:David.Nerini@univmed.fr              Fax : +33 (0) 4 91 82 91 19

(#) Attention: For proper processing, the order should mention the Name(s) of concerned Member(s).

2011-03-01

© 2004-2011 SFBT (cc-by-sa license)

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