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

SFBT Membership Form

SFBT  [-] [v]

NAME and given name(s):

AFFILIATION and MAILING ADDRESS:

E-mail:

Scientific activity and interests:

References of a few characteristic publications
(research, education, popularization, etc.):

• Joins the SFBT for one year starting on             .
• Encloses a cheque of              euros payable to the SFBT
  or ask for the SFBT RIB (Basic Bank Account Number) : tresorier(at)sfbt.org
  • 15 euros for students,
  • 25 euros for other members.

• Wishes to receive a bill : [YES] [NO] (Delete which does not apply).

Date and signature:

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This form and the possible cheque should be transmitted to

Angélique Stéphanou, Trésorerie SFBT
Laboratoire TIMC-IMAG
Pavillon Taillefer
Faculté de Médecine de Grenoble
38706 La Tronche cedex

tresorier(at)sfbt.org

2019-09-01

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