The following required fields did not validate
The following errors occurred
Invalid email address.
is required.
Usernames must be at least
characters in length.
characters in length and can contain only letters and numbers.
Ok!
Uppercase Letter
Lowercase Letter
Uppercase or Lowercase Letter
Number
Special Character
Password length of
or more and have
of the following:
Password 2 does not match password.
This field is required.
Must be less than
remaining.
Max length:
characters.
Max length:  characters.
 remaining.
Max length:  words.
 remaining.
Your credit card has expired.
OK
Alert
Close page?
Are you sure you want to close this page?
The code "{0}" was added successfully!
The code "{0}" was not found or cannot be added.

EURETINA Membership Application

  1. Step 1 Contact Information
  2. Step 2 Membership Packages
  3. Step 3 Payment Details
  4. Step 4 Membership Confirmation

Contact Information

We are collecting your personal data in order to process your EURETINA membership and give you access to the associated membership benefits. We will share this data with the relevant third party service providers. As a member you will also receive regular EURETINA updates by email, from which you can unsubscribe at any time. Our Privacy Policy is available to view here.

required input

Yes No

Please Note:  Proof of status required for Trainee and YOURS membership packages, as follows:

Trainee: Verification letter from your hospital or institute which must include your name, date of birth, your supervisor's name and signature, start and end dates of your training period.

YOURS: Photographic date of birth identification such as valid passport, national identity card or driving licence.

Please send documentation to membership@euretina.org or fax to +353 1 2091112.

Create Account Login

Please create your own username and password so you can login and make changes to your account.

© The Active Network - Event Management Software