Membership

Personal info

* First and last name(wymagane)

* Occupation doctorcosmetologistother

* Address 1

Address 2


* Date of birth

* Country

* Phone number

* E-mail address

* Confirm e-mail address

Education

* Name of colage / graduation year

* Name of faculty

* Specialization / degree of specialization

Additional information (second specialization)

Confirmation of education

*(at least one of the boxes below required)

Number of the licence to practice a proffesion (for doctors)

University diploma (attach scan - pdf, jpeg or png, max 5 mb)

Trichology training diploma (attach scan - pdf, jpeg or png, max 5 mb)

Additional information
Send diploma via e-mail later

Place of your Clinic/Practice

Name and address of the Clinic/Practice

Additional information

*Required
I agree on using and processing my personal data in particular name, address, e-mail address for purposes connected with the ISAT Conference registration as well as for advertising and marketing purposes of the ISAT. Each registrant can correct or remove personal data by sending an e-mail to: isat@is-at.org. Personal data will never be shared or sold to third parties.

*Required
I accept and agree on terms and conditions ISAT.