SFBT Membership Form

Print and send to David Nerini (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

David Nerini (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).