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European Atherosclerosis Society

Kronhusgatan 11
SE-411 05 Göteborg
SWEDEN

Web site: www.eas-society.org
E-mail: office@eas-society.org

Online Application Form

To apply for EAS membership, please complete this form and click on the "SEND APPLICATION" button. You should receive an email confirming our receipt of your application.

Your application is forwarded to the EAS Executive Committee for approval. Please note that this can take up to two weeks. You will be informed of their decision by email.

Contact information
Title *
First name *
Surname (Family name) *
Email address*
Confirm email address*
Please re-enter your email address to confirm that it is typed correctly
Address (to which correspondence should be sent)
Address line 1 *
Address line 2
Postal code *
City *
Country *
Personal information
Year of Birth *
Nationality
Gender
Professional details
Current position
Current affiliation
Name of Company/University/Hospital/Institute *
Areas of interest
We may, from time to time, send out information relating to specific areas. Please indicate which topics you are interested in receiving information about. You may select as many as you wish.

* = data is obligatory

The information you submit is entirely confidential and will be used solely by the EAS for administrative purposes only . If you wish to have your details removed from our database, please contact the EAS Administrative Office

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