If you’re a patient or would simply like to make a contribution, become a member by completing the application below, after closely considering and accepting the terms of our statute.

JOIN US in this tough journey of life!

First Name

Last Name

Birthdate

Nationality

Address

City

Post code

Phone

E-mail

BANK ACCOUNT OF THE ASSOCIATION:

Bank: HELLENIC BANK

Name : SYND.ASTH.OIK.AMYLOEID.POLYNEVROP.

Account No: 253-01-740107-01

Currency: EUR

IBAN: CY61 0050 0253 0002 5301 7401 0701

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