EUROPEAN SOCIETY OF ENDOCRINE SURGEONS
Membership Renewal

PERSONAL DATA
  Mr. Ms. Title:
First Name:* Family Name:*
Institution: Department:
Street:* ZIP:
City:* Country:*
Phone:* Fax:
E-mail:* Please note that all further correspondence will be addressed to this email. Please make sure to provide us with a working address.
Date of Birth:*  
* Required fields  
MEMBERSHIP FEES (EURO)
Membership 2017 - Full members (EU-countries) EUR 60.00
Membership 2017 - Corresponding members (non-EU-countries) EUR 50.00
Membership 2017 - Junior members (under 35 years) EUR 30.00
Subsequent payment - Membership 2016 - Full members (EU-countries) EUR 60.00
Subsequent payment - Membership 2016 - Corresponding members (non-EU-countries) EUR 50.00
Subsequent payment - Membership 2016 - Junior members (under 35 years) EUR 30.00
Subsequent payment - Membership 2015 - Full members (EU-countries) EUR 60.00
Subsequent payment - Membership 2015 - Corresponding members (non-EU-countries) EUR 50.00
Subsequent payment - Membership 2015 - Junior members (under 35 years) EUR 30.00
Subsequent payment - Membership 2014 - Full members (EU-countries) EUR 60.00
Subsequent payment - Membership 2014 - Corresponding members (non-EU-countries) EUR 50.00
Subsequent payment - Membership 2014 - Junior members (under 35 years) EUR 30.00
Subsequent payment - Membership 2013 - Full members (EU-countries) EUR 60.00
Subsequent payment - Membership 2013 - Corresponding members (non-EU-countries) EUR 50.00
subsequent payment - Membership 2013 - Junior members (under 35 years) EUR 30.00
Subsequent payment - Membership 2012 - Full members (EU-countries) EUR 60.00
Subsequent payment - Membership 2012 - Corresponding members (non-EU-countries) EUR 50.00
Subsequent payment - Membership 2012 - Junior members (under 35 years) EUR 30.00
PAYMENT MODALITIES
Bank Transfer: to the account "VMA-ESES" IBAN: AT14 2011 1825 4860 0800, BIC/SWIFT: GIBAATWWXXX, Acc.no.825-486-008/00, Bank Code: 20111, at the ERSTE BANK, Alser Str. 23, 1080 Vienna, Austria.
Credit card: We accept Mastercard and VISA.
Note
If making a bank transfer, please make sure to have it done free of charge for the beneficiary. Any charges for banking fees or incorrect remittance of membership fees will be invoiced by the administration office.
Please make sure that the member's name (matching with the name on the renewal form) is given on the bank transfer, as transfers bearing no name cannot be allocated.