Registration

MEMBERSHIP FEE VALUES

RAES membership fee: 50 EUR

RAES membership fee for residents: 30 EUR

EAES membership fee: 50 EUR*
*In order to become a member of EAES, you have to pay the RAES registration fee first!

ELECTRONIC REGISTRATION FORM

PERSONAL INFORMATION
First name*
Last name*
Email*
PIN*
Birth date*
Gender*
MAILING ADDRESS INFORMATION
Note:Used for shipment of 'Surgical Endoscopy' magazine
Address*
City*
Postal code*
County/district*
Country*
Type of Address*
Phone number*
PROFESSIONAL INFORMATION
Professional title*
University title*
Speciality*
Department*
Medical unit*
Address*
City*
Postal code*
County/district*
Country*
MEMBERSHIP FEE INFORMATION
Please select the fee or fees you are willing to pay for one year membership*
RAESEAES (Please make sure you already are a member of RAES, if you want to check the EAES checkbox only, otherwise you have to check both!)

PLEASE write the CODE above in the field below:

PLEASE CLICK TO CONTINUE WITH ONLINE PAYMENT FOR: