ESACP Membership Application Form


There is an increasing need for improved fundamental knowledge in cellular pathology. Whatever the approach to achieve this, quantitative and analytical methods are required for the measurement and identification of normal and pathological states of cells and tissues. Cell and tissue analysis is thus of interest to a wide spectrum of research workers and clinicians in genetics, cell biology, immunology, hematology, oncology, histopathology and cytopathology. The methods of measurement and data analysis are, to an increasing extent, computer based, and frequently depend on complex technology and sophisticated mathematical methods. The development and application of these methods require the collaboration of many different professional disciplines. European efforts in these fields can be strengthened, coordinated and made more effective by the foundation of a society covering this field.

OFFICERS

President: A. Böcking (Düsseldorf, Germany)
Secretary: I.O. Ellis (Nottingham, UK)
Treasurer: G. Feichter (Basel, Switzerland)
Editor in Chief of ACP: G. Brugal (Grenoble, France)

Candidates for membership are requested to complete this form using a typewriter or CAPITAL LETTERS.

Last name: .........................................................................................................................................
First name: ........................................................................................................................................
Academic title (Prof., Doz., Dr.): .....................................................................................................
Qualifications (PhD., MD.): .............................................................................................................
Citizenship: .......................................................................................................................................
Institution or affiliations: ..................................................................................................................
Street: ................................................................................................................................................
Street number: ..................................................................................................................................
P.O. Box: ..........................................................................................................................................
City: ..................................................................................................................................................
ZIP Code: .........................................................................................................................................
State: .................................................................................................................................................
Country: ............................................................................................................................................
Telephone (country code) (area code) (number) (extension):
Fax number: ......................................................................................................................................
Telex number: ...................................................................................................................................
E-mail: ..............................................................................................................................................

Major research interest or activity:

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Name of sponsors for your membership in ESACP

(not obligatory):
1) .......................................................................................................................................................
2) .......................................................................................................................................................

Annual Dues:

For 1996 annual Dues are dfl 245. This includes a subscription to: Analytical Cellular Pathology


IMPORTANT NOTE:

The membership administration for 1996 is handled by Elsevier Publishers, Amsterdam

Payment:

The undersigned declares that the total amount due will be settled in Dutch Guilders.

O: by credit card (preferred payment method)

O: Access, O: American Express, O: EuroCard, O: Mastercard, O: Visa
Expiration date: ..........................................................
Card No: .....................................................................
Address: .....................................................................
Date: ...........................................................................
Signature: ...................................................................

O: by bank-to-bank-transfer to ESACP

Schweizer Bankverein
acc.no: 10-780.99.0
CH 4002 Basel
Switzerland

O: by sending a cheque or bank draft

in Swiss Francs drawn to a Swiss Bank to the ESACP office in Grenoble

Last update: Feb.28, 1996


ESACP office: Dr.Victoria von Hagen, Institut Albert Bonniot, Faculte de Medecine, Domaine de la Merci, F-38706 La Tronche Cedex, France, Tel: +33/76/010271, Fax: +33/76/549549