MEMBERSHIP PAYMENT FORM

Please fill in all the fields.
If you have a list of minimum 3 members for whom you wish to renew the membership fee, please download the excel sheet and fill it in will the requested details, then send it to the ERA-EDTA Membership Office membership@era-edta.org
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Family (Last) Name
First Name
Country
Email
ERA-EDTA Member ID
ERA-EDTA Membership Office
Via XXIV Maggio 38, I-43123 Parma, Italy
e-mail: membership@era-edta.org