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       OPTIMA 
      Organization
      for the Phyto-Taxonomic Investigation of the Mediterranean Area 
      Organisation pour l'Étude Phyto-Taxonomique de la Région
      Méditerranéene 
      
        
       
      
      If you wish to
      become a member, please fill in the application form and send it to the
      OPTIMA Secretariat 
       
      
        
       
      
      OPTIMA MEMBERSHIP APPLICATION FORM 
       
      Ordinary or
      institutional membership will become effective upon receipt of the signed
      application form and payment of the membership fee for the current year. Associate
      membership will become effective immediately upon receipt of the signed
      application form. 
      "----------------------------------------------------------------------------------------------------------------------------------------- 
       The undersigned
      applies for (select your choice):  
      ordinary / associate
      / institutional membership of OPTIMA  
        
      Name: 
      Surname:  
      Institution: 
      Street:  
      Zip code:  
      City:  
      Country:  
      Tel: 
      Fax: 
      Email: 
      Web page: 
      Research interests:  
      Signature: 
      Date: 
        
      Please sign and
      return to:  
      Dr. José M. Iriondo, OPTIMA
      Secretary  
      Dpto. Biología Vegetal, E.U.I.T. Agrícola 
      Universidad Politécnica, Ciudad Universitaria 
      E-28040 Madrid, SPAIN 
      Tel: (+34) 91 336 5435 
      Fax: (+34) 91 336 5406 
      Email:
      optima-madrid@telefonica.net 
      
        
       
      
       
       
      
      OPTIMA membership page |  
       
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