Trade name *
E-mail 1 *
Santa Cruz de Tenerife
Castilla y León
Region of Murcia
Incorrect IBAN number
ZIP Code (FAS)
Phone Number (FAS)
Surgical Specialty (FAS)
Curriculum Vitae (FAS)
Amount (in dollars)
Do you have experience in MIS Surgery?
Have you attended a MIFAS by Grecmip Course?
Do you agree to have your (FAS) details appear in the Find a Surgeon area of the website?
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In accordance with the provisions of the General Regulation of Data Protection of the European Union, we inform you that the data introduced in this form will be treated exclusively for registration purposes and communications regarding educational activity within the society and is property solely of MIFAS by GRECMIP and will not be shared with other organizations. At any time you can exercise the rights of access, rectification, opposition, limitation, and, where appropriate, portability or cancellation by sending an email to email@example.com
By becoming an active member of MIFAS by GRECMIP I acknowledge the obligation to pay annually the fee of 90,00€ in order to benefit from the advantages to which members are entitled. The status "Active Member" will lapse at the end of each year and in order to remain an active member, the Annual Membership fee will have to be paid again at the beginning of the next year.
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