Please send your application form to :
Dr. Frank Van Praet
O.L. Vrouw Ziekenhuis
Moorselbaan 164, B-9300 Aalst
Tel : +32 (53) 72 45 99
Fax : +32 (53) 72 45 52
APPLICATION FORM MEMBERSHIP
deadline for receipt : 1 September
for approval at General Assembly in November of the same year