(See the postal address at the bottom of this page)
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European Association for Forensic Entomology REGISTRATION FORM TO BECOME MEMBER (1) Name: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ First name: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Institute/laboratory (1) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Address: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Country: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ Phone: Fax: E-mail: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Title/Position: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Background: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
/---/ I herewith wish to inform the board of EAFE that I am interested in becoming a Member of EAFE. /---/ I allow the secretary to write my name and address (postal and E-mail) on the website : eafe.org /---/ I have a website and I allow the secretary to make a link from the EAFE website. The address of my website is as following : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Comment/Recommendations:
Date and signature
(1) Please, print and fill clearly this form and send it to : Institut de Recherche Criminelle Gendarmerie Nationale Département Entomologie Secrétariat EAFE 1 Bd T. Sueur F-93111 ROSNY SOUS BOIS --France--
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