BARA

membership

1 year

To become a BARA member, please fill in the form below and follow the instructions. For 3-year membership or BARA + ESRA membership (1 year or 3 years), please visit our membership page.

With the form below you can only pay by credit card.
If you want to pay by bank transfer, click here.

Checkout Options

BARA membership 1 year

Gift, Coupon, or Redemption Code?

Create Profile

First Name *

Last Name *

Email Address *

Username (lowercase alphanumeric) *

Password (type this twice please) *

password strength indicator

Additional Info

Title

Street + No *

ZIP *

City *

Country *

Phone

Language

Professional information

Function *

Hospital *

Department *

Hospital address (Street + No) *

Hospital ZIP *

Hospital City *

Hospital Country

RIZIV No *

Billing Method

Credit or debit card

Billing Address

Street Address *

City / Town *

State / Province *

Postal / Zip Code *

Country *

Checkout Now

With the form above you can only pay by credit card.
If you want to pay by bank transfer, click here.