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*


    Postal Code*

    Contact Information

    Office Telephone

    Mobile Phone




    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


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