Membership
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APPLICATION FOR CAPGAN MEMBERSHIP

A membership fee is NOT payable for those members who have registered for a triennial Scientific Meeting. All delegates registering for a triennial Scientific Meeting will be entitled to membership for the following three year period.

Existing members who were unable to attend a triennial Scientific Meeting may renew their membership by paying a triennial fee of US$25 for members from developing countries and US$50 for members from developed countries.

Other prospective members, who have work experience and interest in the area of childhood diarrhoea and malnutrition but have NOT attended a Commonwealth Congress on Diarrhoea and Malnutrition, should submit a copy of their curriculum vitae to the Treasurer for consideration.

SUBSCRIPTION:

Triennial membership fees are:

US$ 25 for members from developing countries

US$ 50 for members from developed countries

Both are payable to CAPGAN by bank draft or money order in US$. Receipts will be issued. Please make draft out to CAPGAN.

Mail to the Treasurer of CAPGAN:

Dr. J. Decker Butzner
Dept. of Paediatrics, Health Sciences Centre
University of Calgary
Calgary, Alberta
T2N 4N1 CANADA

Please supply the following details with your submissions:

Mr/Mrs/Ms/Dr/Other title _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

FAMILY NAME    _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

OTHER NAMES    _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

ORGANISITION   _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

ADDRESS  LINE1          _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

                    LINE2           _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

                    TOWN _ _ _ _ _ _ _ _ _ _ _ _  POST CODE _ _ _ _ _ _

                    COUNTRY    _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Tel:    ( _ _ _ _ _ )Country Code    ( _ _ _ _ _ )Area Code    (_ _ _ _ _ _ _ _ _ _)Number

Fax:    ( _ _ _ _ _ )Country Code    ( _ _ _ _ _ )Area Code    ( _ _ _ _ _ _ _ _ _ _)Number

email: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

 

 

Questions or comments to info@capgan.org or Fax: +852 26360020 or Tel: +852 26322861
Last modified: March 28, 2006