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.

    Personal Information


    Last Name*


    First Name*


    Father`s Name*

    Office Address


    Street Name*


    Street Number*


    City*


    Postal Code*

    Contact Information


    Office Telephone


    Mobile Phone


    Website


    Email*

    Education


    Dental School


    Year of Graduation


    Adv. Spec. Edu. Program in Endodontics


    Year of Graduation


    Duration of Program


    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 is 100,00 €.

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

    Piraeus Bank

    Account Number: 5050-063397-887

    IBAN: GR58 0172 0500 0050 5006 3397 887

    BIC: PIRBGRAA

    Please send the deposit receipt via email: [email protected]