The Finlay Medical Society La Société Médical Finlay La Sociedad Médica Finlay       Our postal address: PO Box 523096, Miami, Florida USA 33152

Who we are and our mission:   The Finlay Medical Society is a non-profit organization of medical professionals, students, educators, clinical investigators, public health and epidemiology enthusiasts, cultural lovers and community activists and their associates and friends. We are a humanistic community where science, service and fraternity serve to bridge differences between ourselves and the world surrounding us. Bienvenidos al sitio oficial de la Sociedad Médica Finlay. Estamos establecidos como una organización no-lucrativa de profesionales de la medicina, estudiantes, educadores, investigadores clínicos, entusiastas en salud pública y epidemiología, amantes de la cultura y activistas de la comunidad en donde radicamos con nuestros asociados y amigos. Somos una comunidad humanista donde la ciencia, el servicio y la confraternidad sirven para establecer puentes entre nosotros y el mundo que nos rodea.

APPLICATION FOR MEMBERSHIP SOLICITUD DE MEMBRESÍA Name and last name/nombre y apellidos            Age:     Male:   Female:   Mother'smaiden name/Apellido materno:   Mailing address/Dirección postal: EMAIL:(spell clearly, deletree cuidadosamente por favor)         Telephone/Teléfono:   STATUS Select one Seleccione uno   Medical Professiona/Profesional de la medicina o sus ramas     Yes/Sí     No     If you have selected YES above, fill in the following information/Si ha seleccionado SI arriba rellene la información que sigue     Academic and Professional Degrees                 University, Address, Country ------------------------------------------------                   ------------------------------------- ------------------------------------------------                   ------------------------------------- ------------------------------------------------                   ------------------------------------- ------------------------------------------------                   -------------------------------------   Current Professional Work/Actividad Profesional Actual   ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------   Medical or Professional student in the branches of medicine/Estudiante de medicina o de una de las ramas de la medicina      Yes/ Si                No                                            If you have selected YES above, fill in the following information/Si ha seleccionado SI arriba rellene la información que sigue   Institution-Name, Address, Country/Institución- Nombre, Dirección, País.     Level of education/Nivel educacional       General Public/Público en general    Yes/Sí      No       FEES:   PROFESSIONAL                                              $ 25.00 per year                                                                                     $ 25.00 annual             STUDENT                                                        $15.00 per year                                                                                     $ 15.00 annual               GENERAL PUBLIC                                            $ 10.00 per year                                                                                     $ 10.00 annual      FEES must be sent in the form of check or money order directly to:   The Finlay Medical Society PO Box 523096 Miami, Florida 33152   Index Albarrán