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

The SFBT

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2010 Bulletin :

President

Membership

General Meeting

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Page 5

SFBT Membership Form

Print and send to Jean-Christophe Poggiale (address below)

NAME:                           Given Name(s):
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         .

• 15 euros for students,
• 25 euros for other members.

• Enclosed a cheque of           euros payable to the SFBT.
• I wish to receive a bill : [YES] [NO] (Delete which does not apply).
• I use an intermediate organization (Accountant, Library, ...).
  Name and Address of this Organization:

Date :

Signature :

The Membership form and the possible order should be transmitted to

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

Fax : +33 (0)4 91 82 91 19

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

Version 2010-06-16

2010 SFBT (cc-by-sa license)

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