Membership-Application

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Very welcome! Choose the kind of membership, fill in the form below and you are a member.

Click here to see the table that shows the benefits associated to each type of membership.

Member form to fill in

Kinesiologist Membership
Kinesiologist Association Member - €21 / 1 Year
This is a membership for you who are a professional practitioner, and belong to an association, that values being part of something bigger. As a member you have access to our directory, special events and meetings.
Kinesiologist Membership - €42 / 1 Year
This is a membership for you who are a professional practitioner that values being part of something bigger. As a member you have access to our directory, special events and meetings.
Automatically renew and pay subscription when due yearly (you will be able to cancel your subscription manually if you want to)
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Username*
Main Contact Person First Name*
Main Contact Person Last Name*
Password* Minimum length of 6 characters.
The password must have a minimum strength of WeakStrength indicator
Repeat Password*
Country of Residence* Where you are working
E-mail*
Attach PhotoUpload
Attach Photo
I allow the website to collect and store the data I submit through this form.*
Newsletter Subscribe
I want to appear in the list of members on this website
- Yes
- no

PayPalCredit / Debit Card

No payment methods are available for the selected subscription plan.

Billing Details
Billing First Name*
Billing Last Name*
Billing Email*
Billing Company
If entered, this will appear on the invoice, replacing the First and Last Name.
Billing Address*
Billing City*
Billing Zip / Postal Code
Billing Country*
Billing State / Province

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