Saudi Osteoporosis Club

Membership

CURRENT MEMBERSHIP

Title:

Prof.

Dr.

Mr.

Mrs.

Ms.

Surname:

First Name:

Middle Name:

Gender:

Speciality:

Sub Speciality:

University Degree:

Present Occupation:

Institution:

P.O. Box:	*	Postal code:
City:	*	Country:	*
Tel # (Res.):		Tel # (off.):	*
Fax #:		Email:	*

*For 1year Membership: SR 100/-
*For 2 years Membership: SR 200/-
(incl. Tawfeer or Zajil-internet card or Training Course card)
*For Company Membership: SR 1000/-
Pay DD/Cheque to Prof. Mahmoud El Desouki or
Saudi American Bank, Acct.# 210-176-2846
(Please Fax. the deposit receipt to us)
Fax # (966)1-4672393

For Further information, Please contact:
Prof. Mahmoud El-Desouki
Nuclear Medicine Dept.,
King Khalid University Hospital,
Mail Box 46 P.O. Box 7805
Riyadh 11472, Saudi Arabia
Tel# (966)1-467-1150/467-1830/467-2436
Fax# (966)1-467-2393
Email: mdesouki@ksu.edu.sa