Subscription

 

If you wish to become a member of the Keratomileusis Study Group (KMSG) it is necessary to fill the attach document and send it by fax or e-mail to the KMSG admissions department.

Once accepted, you will receive the information regarding the steps to follow to pay the annual fees.

It is absolutely necessary to become a member, be presented for two active KMSG members for its recommendation.

Personal Data:

 

*Last name:

*Name:

*Workplace:

*Address:

Area Code:

*City:

*State:

Country:

Telephone:

Fax:

e-mail:

*Birth date:

*University Degree:

*Brief Curriculum vitae:

*Presented by Drs.(need to be active members):

1:   2:

 

 

*Campos obligatorios