| Membership Type |
Application for Membership (free) - This is the application form to become a member of the European Society for Animal Cell Technology.
Once your application is accepted you will receive further instructions to activate and pay your subscription (20 € / year)
|
| Select a Payment System |
|
Your Name
Your First & Last name |
|
Your E-Mail Address
A confirmation email will be sent to you at this address |
|
Choose a Login Name (User ID)
It must be 4 or more characters in length and may
only contain small letters, numbers, and the underscore '_' |
check for uniqueness
|
Choose a Password
Must be 4 or more characters |
|
Confirm your password
Enter password again |
|
| Title
|
|
| Job Title
|
|
| Institution
|
|
| Department
|
|
| Telephone No
|
|
| Fax No
|
|
| Web Site
|
|
Alternate Email
Enter here any other email to contact you if the primary email fails. |
|
Expertise
Select your domains of expertise.
Use ctrl to select multiple values. |
|
Other Expertise
If not listed above, |
|
CV, Publications, Motivation
Please tell us here why you wish to join the society.
You should include your CV or a selection of your bibliography and any additional information to help the committee evaluate your application. (ie current work and responsabilities) |
|
Proposer Name
You must have the support of an ESACT member to
apply for membership.
If you do not know any, please enter the name of a member of the executive committee who you must absolutely contact to validate your application |
|
Email of proposer
If the proposer is a member of the executive committee, please enter name@esact.org |
|
| ADDRESS INFO |
|
|
|
|
|
|
|
|
|
|