Application / Renewal of Individual Membership
Application for Membership / Renewal of Membership
Last Name*:    First Name(s)*:    Title (Prof/Dr):
Present Position*:  
Address*:
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Main Research Interests (keywords):
First applications must be sponsored by two members of the European Society for Microcirculation, please either enter the names of your sponsors below or send your CV with your application.
Sponsored by Name1:    Name2:
Membership will be activated upon receipt of your payment !