please fill in the following information for my membership profile for pigs: title ===== first name/ last name fmh title (s
Please fill in the following information for my membership profile for
PIGS:
Title
=====
First name/ Last name
FMH Title (s)
Position
Institution
Department
Address
Postal Code
City
Phone number
Fax number
E-Mail address
Interests or key words
======================
Date and signature
==================
Please return to (e-mail):
Dr. med. Andrea Duppenthaler
PIGS Secretary
Universitätsklinik für Kinderheilkunde
Inselspital
Freiburgstrasse
3010 Bern
E-mail: [email protected]