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:
    Telephone: Mobile
    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: