Interested in becoming a member of our diverse network of involved professionals? Download the document To become a member, simply download the form above or print and send us the form below, along with your method of payment to:Réseau Médicaments et Développement, 35 rue Daviel 75013 Paris, FRANCE or by e-mail to: remed@remed.org Your membership entitles you to subscribe to our interactive discussion E-MED Forum, to receive our e-newsletter, our quarterly review, as well as updates on all our upcoming events, and educational programs. These tools keep our network informed and up-to-date on everything associated with public health and prescription medicine in a developing context. ---------------------------------------------------------------------YES, I would like to become a member of ReMeD and stay informed, educated and active in all things concerning public health and prescription medications in a developing context. LAST NAME - First Name : ADDRESS : POSTAL CODE : CITY : COUNTRY: PROFESSION : TEL : FAX : E-MAIL : Fees ( valid for 1 year) Personal Memberships :France et European Union : 40€Developing Countries (besides ex-patriots ) : 10€Students, Recent Graduates, Unemployed :10€ Other support :Associations : 80€Financial Supporter : 450€ Would you like to receive a proof of payment for tax or business purposes? Yes No DATE : SIGNATURE : Methods of payment :Wire transfer (information below)CheckCash Crédit Coopératif - Agence de Paris Alésia 99 rue de la Tombe Issoire 75014 Paris / Code agence : 00005 / Code Banque : 42559 / Numéro de compte : 210 288 085 09 Clé RIB : 34 / IBAN : FR76 4255 9000 0521 0288 0850 934 / Pour les dépôts au guichet : veuillez nous fournir un justificatif. / Code BIC : CCOPFRPPXXX |
Contact us : Réseau Médicaments et Développment - ReMeD 35, rue Daviel 75013 Paris (Métro- Glacière) Tel : + 33 1 53 80 20 20 Fax : + 33 1 53 80 20 21 remed@remed.org Give us your thoughts, questions or comments.
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