New member application

To the Board of Directors

I hereby apply for membership in the Hellenic Association of Endodontists. I declare that I agree with the mission of the Hellenic Association of Endodontists as stated in the article 2 of the Memorandum and that I fulfill all the requirements stated in the article 7 of the Memorandum.
Please accept my application.

    Last Name:

    First Name:

    Son of:

    Office Address:





    Dental School:

    Year of Graduation:

    Advanced Specialty Education Program in Endodontics:

    Duration of Program:

    Year of

    Academic Degrees:

    If accepted into membership by the Committee of Directors, the hereby applicant is due to pay the subscription fee to the Association.

    The subscription fee for the year 2014 is 100,00 €.

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

    Piraeus Bank
    Acc. No 5050-063397-887
    IBAN GR58 0172 0500 0050 5006 3397 887
    Please send the deposit receipt via email:
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