Application / Renewal of Individual Membership

Application for Membership / Renewal of Membership

Last Name*:    First Name(s)*:    Title (Prof/Dr):

Present Position*:  

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New applications for membership, should be sponsored by two members of the European Society for Microcirculation (if possible), please enter the names of your sponsors below. In addition complete the individual membership application MS word document and send with your CV to the Treasurer Professor Nicola Brown (n.j.brown@sheffield.ac.uk)

Sponsored by Name1:    Name2:

Membership will be activated upon receipt of your payment !