National Society Application

€120 for 1 year / €280 for 3 years

If you are a member of one of our listed national retina societies, you are eligible for a 20% discount on the standard membership fees. Discounted fees are 120 for 1 year (150 standard) and 280 for 3 year (350 standard) membership packages.

To qualify for this discount, you will need to provide verification of your membership with the national society by providing either a copy of your society membership certificate OR a receipt showing proof of your society membership fee payment. 

Please go ahead and complete the form below. We will then be in touch with further instructions about if your application has been accepted. If your application is accepted, you’ll be given a one-time payment discount code to use at check out to claim your 20% national society discount. 

If your national society is not listed and you would like it to be considered for inclusion, please email [email protected] with your request.  

If you do not qualify for the National Society discount, please return to the Membership Options and select the right package for you.

National Society Application
First
Last
Enter Email
Confirm Email
Enter Email
Confirm Email
Address
Address
City
State/Province
Zip/Postal
Country
Enter Password
Confirm Password
EURETINA is dedicated to diversity and inclusion within the society and its activities. As a result, we are seeking some demographic information to help us understand the gender balance of our membership and event faculties.

Maximum file size: 104.86MB

Please attach a .jpg, .png, .gif, .pdf or .mpg image of a form of identification showing your date of birth which can verify that you are under 40 years of age. You can upload your passport, drivers license or national identity card.