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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)
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