Member registration

Please fill the following form.

If accepted into membership by the Committee of Directors, you will receive a reply email.

Then the hereby applicant is due to pay the subscription fee to the Association.

The subscription fee for the Specialists, for the year 2022, is 50,00 €. The subscription fee for the Residents, for the year 2022, is free of charge.

For the subscription payment, please use the Association’s Bank Account:

ASOCIAȚIA SOCIETATEA HELENO-ROMANA DE CHIRURGIE HEROES

RO39 RNCB 0138 1667 2964 0001 in RON – romanian currency
RO12 RNCB 0138 1667 2964 0002 in EURO
BIC/SWIFT: RNCBROBU

Please send the deposit receipt via email: heroes@heroesurgery.com

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Name

Address

Address Line 1

City

State / Province / Region

Postal Code

Country

Work Address

VAT Number

Phone

Application Date

Birth Date

Speciality

Qualification

Specialist
Resident