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Euro-Mediterranean Council for Burns and Fire Disasters MBC WHO Collaborating Centre for Prevention and Treatment of Burns and Fire Disasters Membership Application Surname Name Profession MD PA Address PhD MSV RN RD RT Industry Rep. Paramedic OT PT Burn Patient Lay Person Post cod. City Country Tel. Fax E-Mail I prefer to receive the scientific magazine Annals of MBC and correspondence at this address Institute/Hospital 1st MBC Member referee Signature 2nd MBC Member referee Annual fee one...
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