Personal information

    Name (required)

    Private address (required)

    Zipcode (required)

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    Email (required)

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    Lægeforeningen manage collection of our annual fee, we therefore need the following information:

    I am a PhD student

    I am a medical doctor

    I wish to receive Scand J. of Immunology (free for members)

    Type of membership
    Student (150,- kr/year)Candidate (300,- kr/year)Company (3000,- kr/year)

    Students and PhD students (check candidate as membership) are free members to next collection of membership fee (June each year)


    Company information

    Company Name

    Company Address

    Company Zipcode

    Company City

    Company Phone