BARA

membership

To become a BARA member, please fill in the form below and follow the instructions. For payment with credit card, please return to the previous page or visit our membership page.

Please pay the amount due via bank transfer to BE15 0013 5783 8130 stating your full name and chosen membership:

BARA 1 year: 100 €
BARA 3 years: 270 €
BARA + ESRA 1 year: 215 €
BARA + ESRA 3 years: 575 €

Your membership will be activated once we receive your payment.

Registration Options

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 *

Complete Registration

Please pay the amount due via bank transfer to BE15 0013 5783 8130 stating your full name and chosen membership:

BARA 1 year: 100 €
BARA 3 years: 270 €
BARA + ESRA 1 year: 215 €
BARA + ESRA 3 years: 575 €

Your membership will be activated once we receive your payment.

If you have chosen the dual membership BARA + ESRA, you agree your email-address will be passed to the ESRA.