Registration

Member registration

Name(Required)

First Last

Address(Required)

Street Address City ZIP / Postal Code Country

Email(Required)

Type of practice or specialty(Required)

RIZIV/INAMI number

Membership(Required)

Membership fee (€140)

By filling out and submitting this form, a temporary membership will be allotted to you and you will be notified about the final approvement of your membership request as soon as possible. Membership fees are per calendar year (January 1st - December 31st).

Invoicing data

Company name (if applicable)

Name(Required)

First Last

Address on invoice(Required)

Street Address City ZIP / Postal Code Country

VAT number (if applicable)

ibedssma

Member registration

Invoicing data

Upcoming events

Regular member

Membership fee

Industry member

Student member

Membership fee

Meeting membership