Registration

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Registration

Please complete the form below and click Register. In the next step you’ll be asked to confirm your e-mail address and complete payment of EUR 25.
Title:
First Name:
Last Name:
Email:
Username:
Password:
Verify Password:
Organization :
Address Line 1:
Address Line 2:
Address Line 3:
Telephone:
Fax:
Mobile:
I am a member of the Irish Computer Society :
ICS Member Number:
I am a member of the Royal Academy of Medicine in Ireland:
Academy of Medicine Member Number:
	Accept Terms and Conditions
Paid-up members of the Irish Computer Society or of the Royal Academy of Medicine in Ireland are entitled to membership without further subscription. Confirmation will be sought from the parent bodies.

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