Subscribe to CENTERSPAN Listserv

[about CenterSpan Listserv]

If you wish to participate in the CenterSpan Listserv mailing list, please fill out the following form. Our moderators will evaluate the application and notify you regarding acceptance.

Please fill out the form as completely as possible. Thank you.

THE FORM

YOUR NAME: First, M.I., Last, Degrees

YOUR ROLE: (other, if needed)

* pick one or more, using CTRL * surgeon physician scientistcoordinator pharmaceutical industry biotechnology industry health communications other

YOUR POSTAL ADDRESS:
   Home Institution:
* pick the best fit *college or universityprivate practicepharmaceutical industryother

   Street Information:


   City, State, Postal Code, Country

TELEPHONE: (please include area code)

FAX: (please include area code)

E-MAIL ADDRESS AT WHICH YOU WILL RECEIVE CENTERSPAN LISTSERV:

ARE YOU A MEMBER OF THE INTERNATIONAL TRANSPLANTATION SOCIETY?
-yes -no

ARE YOU A MEMBER OF THE AMERICAN SOCIETY OF TRANSPLANTION (AST, formerly ASTP)?
-yes -no

ARE YOU A MEMBER OF THE AMERICAN SOCIETY OF TRANSPLANT SURGEONS (ASTS)?
-yes -no

OTHER SOCIETIES TO WHICH YOU BELONG:

HOW DID YOU HEAR ABOUT CenterSpan listserv?

ASTP/ASTS SPONSOR NAME, E-MAIL:

IF YOU DO NOT HAVE AN AST/ASTS SPONSOR,
PLEASE INDICATE THE NATURE OF YOUR RELATIONSHIP
TO THE FIELD OF TRANSPLANTATION:

INTEREST AREAS:
* pick one or more, using CTRL *heartkidneyliverlungpancreascell/molecular biologyimmunologyimmunosuppressionexperimentation

 

Copyright © 2001 American Society of Transplant Surgeons

Please be aware that medical advice, diagnoses and physician references cannot be obtained from this site.