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					European Behavioural Pharmacology Society
MEMBERSHIP DUES 2008 (1 year)
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CREDIT CARD (total Euro 54= Euro 50 (dues) + Euro 4 [bank charges]) Eurocard / Mastercard Card N° Security code Expiry date (mmyy) Name of card holder : ......................................................................... CHEQUES (Euro 56 =Euro 50 (dues) + Euro 6 [bank charges]) BANK TRANSFER, (Euro 50 dues + bank charges) transfer to :
Deutsche Bank Holzmarkt 6 88400 Biberach an der Riss, Germany and send this statement as soon as possible to: T. Steckler Janssen Pharmaceuticals NV Turnhoutseweg 30 Beerse, B-2340 Belgium Bank code: 630 700 24 Account N°: 20 20 626 BIC: DEUTDEDB631 IBAN: DE64630700240202062600

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