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How to become a member?
 

Your application for membership will be transferred to the secretary through the form below. The application will be submitted to the next general meeting of the society for approval.
The membership fee comes to 25€ per year.


  Undersigned   Date:
Title:

 

Other title:
Name: (*) First Name: (*)
want to become member of the Belgian Society of Human and Animal Mycology.

Address: (*) Number: (*)
Municipality(*): Zip code: (*)
Phone: Fax:
Mobile: E-mail: (*)

Diploma:
Function:
Hospital/Institute:
 
I agree that my e-mail will appear on the website of the society www.medmycol.be