Price: €100 for 2 years Prefix :* Prefix is Required DrMrMsProf First Name:* First Name is Required Middle Initials: Middle Initials is not valid Last Name:* Last Name is Required Street Address or PO Box: Street Address or PO Box is not valid City: City is not valid State/Province: State/Province is not valid Country: Country is not valid Post Code: Post Code is not valid Degrees (e.g. DDS, PHD, LLB): Degrees (e.g. DDS, PHD, LLB) is not valid Current degree: Current degree is not valid Current course of study: Current course of study is not valid Work function: Work function is not valid Private PracticePublic HealthAcademicDental AssociationOther Academic institution: Academic institution is not valid Name & email of supervisor, faculty member: Name & email of supervisor, faculty member is not valid Institution/Department: Institution/Department is not valid Have you been a member of IDEALS in the past?: Have you been a member of IDEALS in the past? is not valid NoYes Expertise and Interests: Expertise and Interests is not valid Ethics Professional Associations Law Patient rights Forensic dentistry Public health Education Commercial and business ethics Insurance Membership DirectoryThe IDEALS membership directory contains the information above with the exception of the Postal Address. Members only may access it electronically for the sole purpose of networking with other members : Membership DirectoryThe IDEALS membership directory contains the information above with the exception of the Postal Address. Members only may access it electronically for the sole purpose of networking with other members is not valid YesNo Email:* Invalid Email Password:* Invalid Password Password Confirmation:* Password Confirmation Doesn't Match Direct Transfer Transfer in Euros Account Holder: IDEALS Account Number: 001-5970681-19 BIC: GEBABEBB IBAN: BE39 0015 9706 8119 Bank Name and Address: BNP Paribas, Martelaarslaan Gent-Bijloke 9000 Gent Belgium Credit Card Please fix the errors above