Registration Form

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Address ………………………………………………………………………………………...………
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Business Tel ………………………… Fax ….….……….………… Home Tel ….…………………
Wish to be a member of Nadi Al Bassar and subscribe as:

Candidate	30 DT
Active member	50 DT
Supporter	100 DT
Donator	500 DT
Benefactor	1000 DT

I send back the filled form, a check N° 01-580-462-9-44 Banque de Tunisie, in the name of the treasurer of Nadi Al Bassar Menara - 1008 Tunis (Tunisia) and 2 photos.

Date	Signature	

By laws abstracts
The candidate : is sponsored by two members and elected by the general assembly.
The active member : takes part directly to the activities of the Center.
The supporter : shares the goal of the Nadi. He is offered a certificate, and his name appears in the newsletter and the Bulletin.
The donator : sponsors part of our activities. He is offered a Diploma of Gratefulness  and his name appears in the Donar list of the Annual Report.
The benefactor : contributes (as individual or a body) to the accomplishment of our objectives. He receives a medal in his name.
The great benefactor : has is name engraved in the Center Hall.

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Services offered to our members
•	Documentation Center
•	Clinical Course and surgical workshop
•	Publishing scientific studies at international journals
•	Newsletter and Bulletin
•	Participating to exchange programs (fellowshop and training)
•	Participating to prize contests and honours
•	Network affiliated Centers
•	Special assistance to patients
•	Sight Saving campaigns
•	Nadi representation at international meetings