EUROPEAN 

ASSOCIATION OF 

FISH PATHOLOGISTS



MEMBERSHIP APPLICATION FORM
Name:
Address/Organisation:
 
 

Qualifications:

Please mark the category of membership for which you are applying:
Regular (CHF 60)
Student (CHF 30)
Sustaining (CHF 400)
Library subscription (CHF 100)
 

Signature:                                                                  Date:

Please markyour research interests:

Fish Diseases  G  Immunology  M  Nutrition
Teaching B  Shellfish Diseases H  Diagnostics
N  Genetics Marine Pathology Bacteriology
I   Treatments O  Pathognenesis V  Ornamentals 
D  Virology   Chemotherapy P  Legislation 
Mycology K  Histopathology Q  Pathophysiology
Parasitology L  Pollution R  Endocrinology

PAYMENT

CREDIT CARD PAYMENT:
Please charge my credit card the following amount:

______________________________

Mastercard            Visa          American Express           Diners Club

Card number:  ____________________                    
Expiry date:  ____________________
 

BANK TRANSFER: (A or B option)
A:          I enclose a copy of bank transfer payment to my EAFP Branch Official
B:          I enclose a copy of bank transfer payment to:

EAFP, c/o P.J. Midtlyng
VESO PO Box 8109 De
N-0032 Oslo
Norway
Account no 0825-0309237 (Postbank International, N-0021 Oslo) or
Account no 1607-8746169 (Union Bank of Norway, PO Box 1172 Sentrum, N-0107 Oslo)

___________    ___________    ___________________
Place                 Date                 Signature



Please return this form to your Branch Official, or in their absence, directly to the General Secretary:
Dr. David Bruno
EAFP General Secretary
Marine Laboratory
Victoria Road
Aberdeen AB11 9DB
Scotland

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