Title: ---Mr.Mrs.MissDr.Drs.Assoc. Prof. Dr.Prof. Dr.Other (please fill in below)
Degree: (example: MD, RN, PhD, etc.)
Profession: ---PhysicianNursePsychologistOccupational therapistDieticianPhysical therapistSocial WorkerScientist/ResearcherStudent Medicin/PhDResidentTraineeOther (please fill in below)
Your email address:
I would like to join the EBA as:
Individual High Income Category 1 (75 EURO)Individual Low Income Category 1 (45 EURO)Individual High Income Category 2 (50 EURO)Individual Low Income Category 2 (25 EURO)Retired (20 EURO)
Category 1 are physicians, PhDs and members associated with industry.
Category 2 are all other professions.