I, the Undersigned, MD

I, the Undersigned, MD

<p> President: Dr. Guy Sallet Vice-President: Dr. Françoise Van Cauwenberge General Secretary: Dr. Bernard Mathys Treasurer: Prof. dr. Marie-José Tassignon SOBEVECO-BSCRS MEMBERSHIP Belgian Society of Cataract and Refractive Surgeons (BSCRS) Belgian Contact Lens Society of Ophthalmologists Recognised Professional Society General Secretary’s Office: Dr. B. Mathys, Av. Van Overbekelaan 166, 1083 Brussels</p><p>I, the undersigned, MD, ...... </p><p>Address: ...... </p><p>Zip code: ...... City: ...... </p><p>Tel: ...... Fax: ...... </p><p>E-mail: ...... </p><p> Wish to register as a working member of BSCRS-SOBEVECO: contribution 90 € This annual contribution includes: - Access to the scientific meetings organised by SOBEVECO-BSCRS, free or at a reduced rate - Membership of the European Contact Lens Society of Ophthalmologists (ECLSO) - Access to the “Members Only” zone of the BSCRS website</p><p> Wish to register as a working member of BSCRS-SOBEVECO and ESCRS: contribution 190 € This annual contribution includes: - Access to the scientific meetings organised by SOBEVECO-BSCRS, free or at a reduced rate - Membership of the European Contact Lens Society of Ophthalmologists (ECLSO) - Access to the “Members Only” zone of the BSCRS website - Full membership of the European Society of Cataract and Refractive Surgeons (ESCRS): Access to ESCRS On Demand  Access to iLearn  Access to the CME accredcited online learning platform Reduced registration fees at ESCRS congresses  Subscription to the Journal of Cataract and Refractive Surgery  Online access to the Journal of Cataract and Refractive Surgery  Subscription to ESCRS EuroTimes  Bimonthly eTIMES bulletin  Voting rights  Access to “Members Only” area of the ESCRS website  Membership pack including Membership certificate, Membership card with password and access code for “Members Only” area of the website</p><p>I hereby officially declare to comply with the rules of the professional medical deontology.</p><p>Date: ...... Signature: ...... </p><p>In order to validate your subscription the names (or stamps) and signatures of two supporting members are required:</p><p>...... </p><p>...... </p><p>Once your membership application has been accepted by the General Assembly, you will be invoiced by the Treasurer of the SOBEVECO-BSCRS.</p><p>Bank account: AXA • Dascottelei 35 • 2100 DEURNE • BE37 7512 0381 5228 • AXAB BE22</p>

View Full Text

Details

  • File Type
    pdf
  • Upload Time
    -
  • Content Languages
    English
  • Upload User
    Anonymous/Not logged-in
  • File Pages
    1 Page
  • File Size
    -

Download

Channel Download Status
Express Download Enable

Copyright

We respect the copyrights and intellectual property rights of all users. All uploaded documents are either original works of the uploader or authorized works of the rightful owners.

  • Not to be reproduced or distributed without explicit permission.
  • Not used for commercial purposes outside of approved use cases.
  • Not used to infringe on the rights of the original creators.
  • If you believe any content infringes your copyright, please contact us immediately.

Support

For help with questions, suggestions, or problems, please contact us