EMGM –The European Meningococcal Disease Society
President: Prof Urich Vogel (Germany)
Vice President: Dr Paola Stefanelli (Italy)
Secretary: Dr Georgina Tzanakaki (Greece)
Treasurer: Dr Steve Gray (UK)
EMGM web address: www.emgm.eu
INVOICE 1 Bank Transfer
Membership fee 2011
In future we will be collecting membership fees for two year periods together in order
to minimise administration and bank charging costs.
Members have full voting rights, are entitled to reduced fees for EMGM meeting
registration and other benefits
Fees due
Amount
Membership for 2011
€ 50,00
Method of Payment
Preferred method is by direct transfer to:
Account Name:
Bank Name:
Address:
IBAN:
BIC:
EMGM – European meningococcal Disease Society
Erste Bank der österreichischen Sparkassen AG
Hauptstrasse 6
A-7571 Rudersdorf, Austria
AT742011128616128300
GIBAATWW
Please be sure to provide your name as a reference if the payment is from an
institution account
Payment by credit card is also accepted. Please complete the credit card payment form CC1
and post the return to the EMGM Board treasurer Dr Steve Gray at address below.
Steve Gray
EMGM Treasurer
Tel:
+44 (0)161 276 6764
Fax:
+44 (0)161 276 5744
E-mail: steve.gray@hpa.org.uk
EMGM – The European Meningococcal Disease Society
Registration court - Würzburg Ref. Nr. 2199/2005
Society contact address: Georgina Tzanakaki, EMGM Board Secretary
National School of Public Health, 196, Alexandras Avenue, Athens, Greece
E-mail: gtzanakaki@esdy.edu.gr
EMGM –The European Meningococcal Disease Society
President: Prof Urich Vogel (Germany)
Vice President: Dr Paola Stefanelli (Italy)
Secretary: Dr Georgina Tzanakaki (Greece)
Treasurer: Dr Steve Gray (UK)
EMGM web address: www.emgm.eu
MEMBERSHIP PAYMENT BY CREDIT CARD
(CC1)
I wish to pay for EMGM membership for 2010/11
Fees are payable to EMGM in € euros only.
Please debit my:
□
Card no:
Mastercard
□□□□ □□□□ □□□□ □□□□
□□ □□
Expiry date:
□
□
Visa
/
€50,00 (fifty euros)
Name as it appears on card:________________________________________________
Signature:___________________________________ Date:______________________
Please send your completed form to:
Steve Gray
EMGM Treasurer
Meningococcal Reference Unit, HPA North West Laboratory, PO Box 209,
Clinical Sciences Building 2, Manchester, M13 9WL, U.K
Tel:
+44 (0)161 276 6764
Fax:
+44 (0)161 276 5744
E-mail: steve.gray@hpa.org.uk
EMGM – The European Meningococcal Disease Society
Registration court - Würzburg Ref. Nr. 2199/2005
Society contact address: Georgina Tzanakaki, EMGM Board Secretary
National School of Public Health, 196, Alexandras Avenue, Athens, Greece
E-mail: gtzanakaki@esdy.edu.gr
EMGM – The European Meningococcal Disease Society
Registration court - Würzburg Ref. Nr. 2199/2005
Society contact address: Georgina Tzanakaki, EMGM Board Secretary
National School of Public Health, 196, Alexandras Avenue, Athens, Greece
E-mail: gtzanakaki@esdy.edu.gr