Membership Form

    Gender: MaleFemale

    Info Membership fee

    Remember to pay at least 30 days before the congress
    Payment methods:

    • PayPal – treasurer@evssar.org
    • Bank transfer :
      Name Beneficiary : EVSSAR 
      Bank Name: Belfius Bank NV, Pachecolaan 44, 1000 Brussel, Belgium 
      Account Number: IBAN: BE18 0682 2313 2965 – Currency Code Euro 
      BIC (SWIFT): GKCCBEBB

    In the description you MUST WRITE “LAST AND FIRST NAME YEAR“.

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