AAO

MEMBERSHIPNEW MEMBERSHIP APPLICATION

Personal Detail

* E-mail
* First Name
* Last Name
	male female
* Specialty	Professor Dentist Dental Technician Dental Hygienist Student Others
* University / Business Name
* Department
* Country / region
* Address
* Telephone
* Fax

Qulification

* Professional Degree
* Other Qulification
* Formal Prosthodontic Education
* Diplomate of certifying prosthodontic board	yes no
* If yes, name board & date of certification
* What other prosthodontic organizations are you a member?

Note(There is no annual fee now)

* Professional Degree	US$ 50.00
* Annual due	US$ 30.00
* Total	US$ .00

- 내국인 회원가입 안내; For Korean Domestic Members,
Paypal.com 결제시스템은 정책에 의해 국내발행 신용카드로는 결제가 불가능합니다.
아래 계좌로 이체하신 후 재무이사에게 이메일을 보내주시면 회원가입처리를 해드립니다.
회원가입비는 원화로 5만원입니다.
입금계좌: KEB 하나은행 435-910128-79007 예금주: 안진수 (AAO 재무이사)

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Tel : +82-2-2072-3711Adress : 275-1 Yeong0dong.Chongno-gu. Seoul, Korea