EHRS Membership
Annual Dues Payment

 
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EHRS Annual Membership Dues Payment

       

EUROPEAN HAIR RESEARCH SOCIETY (EHRS) ANNUAL MEMBERSHIP DUES PAYMENT FORM

Click here for a Microsoft Word format annual membership dues payment form

Send the completed form along to:

Desmond Tobin (Treasurer EHRS)
Division of Biomedical Sciences
University of Bradford
Bradford
West Yorkshire
BD7 1DP
Great Britain

Or fax to : +44 (0)1274 309742

 

Surname: ................................................................................................

First name: .............................................................................................

Department: ............................................................................................

Company/institution: ...............................................................................

Street, no.: ..............................................................................................

Town/city: ................................................................................................

Post code: ...............................................................................................

Country: ...................................................................................................

Title (Prof., Dr., Mr., Miss., Mrs.) ...............................................................

 

EHRS Annual Subscription - 50 Euro (£35)

Please note the preferred payment method is by Credit Card

 

(Check one)

Visa: ..................................

Mastercard: ..............................

American Express: .........................

 

Card number: .........................................................................................

Card expiry date : _____ / ______

 

Card holder name: ..................................................................................

 

Signature for card (obligatory): .............................................................

 

Date: .......................................................................................................