African Otological Society - Contact Form
Submit your contact information to stay in touch with with AFOS.  You will have the option to be included in the online AFOS directory.
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African Otological Society

Improving ear and hearing health through education and community.

Name *
Credentials/Designation/Degree (MD, PhD, MBBS, etc.)  *
What is your gender
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Preferred Salutation (Dr., Prof, Mr., Mrs., Ms., etc.)
Country *
Current Practice Institution(s) *
Current Practice Institution(s) Location - City/State/Country
*
Training Institution(s)
Training Institution(s)  Location - City/State/Country
Scope of Practice *
Email Address *
Mailing Address *
Preferred Telephone Number
Do you want to be included in the AFOS online Directory?  If you would like to include a photo with your profile information, please email it to  AfricanOtoSociety@gmail.com
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If you want to be included in the online directory, is there any contact information that you don't want to share? 
Do you have any links to resources you want to share on the AFOS website?  If you have PDFs you want to include, please email them to AfricanOtoSociety@gmail.com. 
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