GP2A MEMBERSHIP 2019

To request GP2A membership, please fill this form.

Principal Investigator €30.00Post-doctoral Researcher and PhD student €15.00


Title:
First name:
Name:
Gender:


University or Company:
Unit and/or Department:
Address:
Postal code:
City:
Country:
Phone number:
Mobile:
Email address (reference email for the GP2A):


FUNCTION / AREA OF ACTIVITY
Activity:

If other activity: specify here:

Status :

If other status: specify here:

Activity area Medicinal ChemistryChemical biologyOrganic ChemistryPharmacologyADMETChemo-informaticsOther activity area

If other activity area specify here:

Research topics:



The registration is validated once the payment of the balance due is received by wire bank transfer.

For payment by bank transfer only,
Please use the following bank details, and send us the references of the transfer, and the names of recipients to: contact@gp2a.org

GP2A
CA Anjou Maine - 49100 ANGERS
RIB : 17906 00032 10476016000 96
BIC : AGRIFRPP879
IBAN : FR76 1790 6000 3210 4760 1600 096


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