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If you have already applied for membership and your request has been accepted, please complete   the procedure by effecting payment of your share, choosing between the following options:   A) VISA or MASTERCARD   fill out the form ISC MEMBERSHIP Name/Surname * Country: * Date of Birth * DD  MM  YYYY E-mail: *    MEMBERSHIP FEE For Year/Period 2009 Amount € 100,00 and to proceed with the credit card payment    B) WIRE   make a bank transfer of Euro 100,00 to: Beneficiary: International Society of Cryosurgery Beneficiary’s address: Via Fabio Severo, 3 - 34135 Trieste - Italy Beneficiary’s Bank:   UNICREDIT BANCA  AGENZIA 883 CAB 02203 ABI 02008 CIN R CIN EUR 75 Account No.: 40471106 Swift Code: UNCRITB1883 IBAN: IT75R0200802203000040471106 Beneficiary’s Bank Address: Piazza della Libertà 2  -  34100 Trieste  -  Italy   In the "Message" space please indicate: " ISC Ordinary Membership fee for year 2009” and your NAME + SURNAME   SEND THE RECEIPT BY FAX TO No. +39 040 4528125, ATT. ISC SECRETARY Note: The personal information you provide to ISC will be retained only for as long as necessary to fulfill the purposes for which the information was collected or as required by law. We do not share such information with third parties without your previous written consent.

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