AIBLUD APS

Online membership form

You can complete your annual membership form directly online. After paying the annual fee of EUR 50.00, the AIBLUD secretariat will review your details and confirm your membership.

Annual fee payment

Please execute a bank transfer and upload your payment receipt in the form.

Beneficiary: A.I.B.L.U.D. APS
IBAN: IT11V033590160010000060941
Amount: EUR 50.00
Recommended reason: AIBLUD annual membership fee

Personal details and declarations

First name

Last name

Date of birth

Place of birth

Tax code

Profession

Institution/workplace

Phone

Full address

City

Postal code

Payment reference (optional)

Payment receipt (PDF/JPG/PNG)

I request membership to A.I.B.L.U.D. APS and accept its statute and mission. I consent to personal data processing for membership request management.

This process does not replace medical evaluation. Final eligibility is defined only after anamnesis, screening and interview with the reference HMB.