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ORCA European Organization for Caries Research President: Prof. Dr. V. Machiulskiene Secretary-General: Dr. Z. Tóth Membership Secretary/Webmaster Dr. Livia Tenuta Phone: +55(19)2106 5393 Fax: +55(19)2106 5303 Email: [email protected] Piracicaba Dental School University of Campinas Av. Limeira, 901, 13414-903 Piracicaba, SP, Brazil Membership application form Full membership (Please fill in and send as word or pdf file) Date: Title: Surname: First name or initials: Date of Birth (day-month-year): Full Professional address: Telephone/Fax: Email address: Positions held: This completed application form should be sent (preferably via email) to the Membership Secretary along with an up-to-date short Curriculum Vitae (1-2 pages)