MEMBERSHIP REGISTRATION ESTIV

In order to register as a member of the European Society of Toxicology In Vitro, please fill in and send the form below.

The membership for an individual member for 2009 is € 30.00.
If you are also a member of one of the affiliated societies, the membership amounts to
€ 18.00.
Student members are free (Please provide us with a statement from the University or from the Departmental Head).
 

Last name *
First name *
Title *
Organisation *
Department *
Address 1 *
Address 2
Postal code *
City *
Country
Phone *
Fax
E-mail *
Member Affiliated Society * No
SSCT
CellTox
INVITROM
Student Member Yes No
Specific interests in in vitro toxicology

* Required informationn
Within three working days we will send you a confirmation by E-mail.
 

For additional information on the ESTIV membership:
Please contact: Dr. Alison Gray, secretary ESTIV

E-mail : secretary@estiv.org