Application for membership
You may use the following links to download the Application for Membership of the "Neurootological and Equilibriometric Society Reg." (NES). After filling the form, send it via fax or mail.
If you use Macintosh:
aplication.rtf.sit.hqx (3071 bytes - .hqx format)
If you use PC:
application.rtf.zip (2201 bytes - .zip format)
By this I apply for the membership in the NEUROOTOLOGICAL AND EQUILIBRIOMETRIC SOCIETY REG.
My personal data are the following ones:
NAME .............................................................................................................................................................
ACADEMIC TITLE ..............................................................................................................................
CITY.......................................................................................................................................................
STREET ...........................................................................................................................................................
TEL.....................................FAX........................................EMAIL.....................................................................
NATIONALITY..............................................................................................................................................
Date............................
Signature......................................................................