Organisation membership - International Association for Ambulatory Surgery

Please note if we already have a member organisation from your country we will liaise with them about your membership.

Organisation name *

Year of founding *

Legal status *

Formally constituted as a legal entity *

Purpose and objectives of your organisation *

How many members do you have? *

Which of the following groups does your organisation represent (tick all that apply) *

Name of President *

First

Last

Name of Honorary Secretary *

First

Last

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Email you wish us to use. *

Captcha – please answer this question *

What is 7+4?