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Membership Registration Form
Legal Entities
Name of association/company
*
Address
*
ZIP code
*
City
*
Country
*
Date of registration
*
VAT number
*
Authorized person name
*
Therapeutical and healing methods used
*
Professional organization / company / small business (for group membership if you are registering an organization)
*
Phone number
Fax number
Website
Email address
*