Application form for the affiliation to the European Menopause and Andropause Society
Application form for the affiliation to the European Menopause and Andropause Society
Official Name of our Menopause or Andropause Society:
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Contact person
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Address
Address
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Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
United States
United Kingdom
Canada
Australia
Netherlands
France
Germany
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Afghanistan
Albania
Algeria
Andorra
Antigua and Barbuda
Argentina
Armenia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
Gabon
Gambia
Georgia
Ghana
Gibraltar
Greece
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Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
New Zealand
Nicaragua
Niger
Nigeria
Norway
North Korea
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Korea
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Phone
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Fax
Email
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Website of your Society
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Our National Menopause or Andropause Society wishes to apply for Affiliation to the European Menopause and Andropause Society.
The statutes (by-laws) herewith enclosed prove that our objectives are similar to those of the European Menopause and Andropause Society and are the study of all aspects of the health of women and men in the after middle age years and the advancement of the interchange of research plans and experiences between Ordinary members of both societies. We are aware that societies affiliated to the European Menopause and Andropause Society will abide by and accept the rules of the European Menopause and Andropause Society with regard to affiliation.
1. We guarantee that a minimum of ten of our members will simultaneously be members of the European Menopause and Andropause Society. This has to be confirmed by a current document from the Administration.
2. We will actively encourage our members to join the European Menopause and Andropause Society.
3. We are aware that affiliation to the European Menopause and Andropause Society does not grant our own members any of the privileges enjoyed by the members of the European Menopause and Andropause Society unless they are also Ordinary members of the European Menopause and Andropause Society.
This means that our members will not have the right to attend the General Assembly of the European Menopause and Andropause Society and consequently have no voting rights;
our own members will not be entitled to subscribe to the official Journal of the European Menopause and Andropause Society at the special discount price granted to the members of the European Menopause and Andropause Society; our own members will not be entitled to register for the European Menopause and Andropause Society's congresses at special rates unless they are also Ordinary members of the EMAS.
As a matter of courtesy, we will try not to arrange our meetings in close proximity to a European Menopause and Andropause Society Congress.
In return, our National Society will:
a) become officially Affiliated and thus receive the "auspices" of the European Menopause and Andropause Society at no affiliation fee for their national congress
b) distribute material and documents including application forms of EMAS at their meetings
Date
Date
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MM
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DD
YYYY
The President
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Draw
or
Type
I understand this is a legal representation of my signature.
Clear
Full Name
I understand this is a legal representation of my signature.
Please print name
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The General Secretary
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Draw
or
Type
I understand this is a legal representation of my signature.
Clear
Full Name
I understand this is a legal representation of my signature.
Please print name
*
Please do not forget to enclose the statutes or by-laws as well as a membership list and a list of the Council/Board of your Society
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Attach Files