Membership registration for EWMA

Step 1 of 3 / Enter information

This form is for applying for a membership of the European Wound Management Association. If you wish to renew your EWMA membership, please click here.

Personal information:

Title:

First name:*

Last name:*

Home address:*

Post code:*

City:*

Country:*

Email:*

This is my postal address

Work information:

Institution:*

Department:*

Work address:*

Work post code:*

Work city:*

Work country:*

My job title is:*

My qualifications are:*

This is my postal address

EWMA Journal:

I wish to receive the EWMA Journal:

Via e-mail (electronic version)

Via regular mail (print version)

Payment information:

I am member of an cooperationg organisation.

The annual membership fee is € 25,-

I wish to pay by Credit Card

I wish to pay by bank transfer

Next step: Confirm information

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