Please fill the form. Name and Surname * E-Mail * Membership Type * Ordinary Membership 2014/2015 - €150,00 (For new Members Only) New Student Membership (only till age 25) - 2014/2015 €40,00 (For new Members Only) Ordinary Membership 2015 - €120,00 Student Membership (only till age 25) 2015 - € Billing Information (Dati Fatturazione) * Please add Proof of Payment - Allegare Copia Bonifico * Upload More informationFiles must be less than 2 MB. Allowed file types: gif jpg png bmp tif pict psd txt rtf html pdf doc docx xml. BANK TRANSFER DATA: IBAN: IT35H0326812100052449966560 BIC (Swift code): SELBIT2BXXX To: Accademia Europea di Ortocheratologia – EurOK Banca Sella S.p.a. - Via San Marco 11/C – 35129 Padova (PD) Please specify the Full Name of the Member in the Bank Tranfer Submit
