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Membership type

Dear applicant.
The invoice that you will get to become a member of the EAPHM, is automatically generated and is based on the information that is supplied by you.
When you require an invoice with your address, your company address and or a VAT number, these data must be entered by yourself. Under the 2018 EU privacy rules, these private data may not be asked for by the EAPHM. When you or somebody else pays the invoice, make sure that your name is mentioned on the payment form.

A valid email address. All emails from the system will be sent to this address.
Please enter a valid phone-number. For example: +32 412 34 56 78 or +32 12 34 56 78

About me

My education

My company data

The title/position in the company
Please enter a valid phone-number. For example: +32 412 34 56 78 or +32 12 34 56 78
Your virtual face or picture.
One file only.
64 MB limit.
Allowed types: png gif jpg jpeg.
Images must be larger than 700x450 pixels. Images larger than 2000x2000 pixels will be resized.

Plain text

  • No HTML tags allowed.
  • Lines and paragraphs break automatically.
  • Web page addresses and email addresses turn into links automatically.