Registration

Subscription to Ma Mémoire Médicale

This service is only available for people with a mail address in Switzerland or Austria (residence, hotel, friend, etc.).

First name*

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Last name*

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Birthdate*

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Sex*

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Email*

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The email address is also used as your username

Email confirmation*

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Password*

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Your password must contain at least 10 characters, 1 number, 1 uppercase letter and 1 special character

Password confirmation*

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Communication language*

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Address*

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Postcode*

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City*

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Country

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Subscription*

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The payment is made using PayPal.

Total

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Confirmation*

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