Application form to enter AEPROMO for professionals who are not physicians, dentists or veterinarians. – Observer Members: With the right to speak, not to vote

Please take into account the following:

(1) Fill in all the data in the following application form and click “Send”. After “sending” it pay the membership fee using the methods of payment that will appear once you have sent the request. AEPROMO will contact you once the Management Board has decided on your request.

(2) All data provided will be for the exclusive use of AEPROMO.

(3) The data of the observer members will not appear on the AEPROMO web page, “find a professional” tab.

 

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    Name (required)

    Surname (required)

    Professional address (required)

    City (required)

    Province (state, department) (required)

    Community (mandatory only for persons in Spain)

    Zip code (required)

    Country (required)

    Business Phone(s) (required)

    Personal Phone(s) (not required)

    Email (required)

    Profession (required)

    Speciality (If you have it) (required)

    Twitter (if available)

    Web (if available)

    Birth Date (required)

    NID (National Identity Document or similar) (required)

    The number of your Professional Identity Card (required)

    Name of the entity that issued your professional card (required)

    Only if you have a bank account in any country of the European Union

    Order payment by direct debit:

    Company bank account

    I accept Privacy Police de AEPROMO (obligatorio)

    I accept the sending of commercial communications

    To avoid spam, please answer this security question

    Persons not resident in Spain must submit the following scanned documents by email to ” info@cursotenenciaresponsable.com ”

    • NID (National Identity Document or similar)
    • Professional Identity Card

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    This content is also available in: Spanish

    This site is registered on wpml.org as a development site.