SIMA: MODULO di ISCRIZIONE o RINNOVO ANNUALE

Il sottoscritto, presa visione delle norme statutarie della Società Italiana di Medicina dell'Adolescenza (SIMA), che si impegna a rispettare e a far rispettare, CHIEDE DI:
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question

    RECAPITI TELEFONICI CON PREFISSO

    This is a required question
    This is a required question
    This is a required question
    This is a required question

    INDIRIZZO POSTA ELETTRONICA

    This is a required question
    This is a required question
    This is a required question

    SEDE DI LAVORO

    facoltativo per Universitari e Ospedalieri
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question