ESPT MEMBERSHIP – Research Group – Referent – ESPT

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Terms:

85€ / Year

First Name:* First Name Required

Last Name:* Last Name Required

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City:* City is Required

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State/Province:* State/Province is Required

Zip/Postal Code:* Zip/Postal Code is Required

Research Group:* Research Group is Required

Institution:* Institution is Required

Department:* Department is Required

Date of birth: Date of birth is not valid

Qualification:* Qualification is Required

MD PharmD PhD MSc BSc Other

I use pharmacogenomics (PGx) today: I use pharmacogenomics (PGx) today is not valid

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PGx Diagnostics PGx Research

Please describe your research/field of PGx diagnostics: Please describe your research/field of PGx diagnostics is not valid

Describe your job:* Describe your job is Required

Clinician Academician Pharmacist Lab Manager Researcher Post-Doc PhD student Undergraduate student Other

Describe your workplace:* Describe your workplace is Required

University Laboratory Research centre Non-profit hospital or clinic (e.g. academic, governmental) For-profit hospital or clinic Corporate/Business Regulatory affairs Other None

My interest in PGx is related to:* My interest in PGx is related to is Required

Cardiology Psychiatry Oncology Transplantation Other

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It is possible to make a Bank Transfer to our bank account. Make sure to state your full name and year of membership in the “Comments” section.
Here below you can find all information needed for bank transfer.

ESPT
Banca Intesa San Paolo
BIC: BCITITMM
IBAN: IT92 Z033 5901 6001 0000 0150 466

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Link to: Get in touch

ESPT

European Society of Pharmacogenomics and Personalised Therapy
ESPT Executive Office – Via Carlo Farini 81 – 20159, Milan – Italy
office@esptsociety.eu

Terms | © 2019 ESPT

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