Medical Products Suppliers Association
9th Stefan Negulescu Street ; 2nd floor; ap.3; district 1; Bucharest
Fiscal Code: 14285927

Mr. President,

The Company:
Located in:
Registered at:
Fiscal Code:
Bank Account:
Opened at:
Legally Represented by:
As a:
		Please fill in all the fields.

Register in Medical Products Suppliers Association

I have knowledge of the AFPM status, principles and objective, therefore I announce they are in accordance with the interests of the company I represent.

I am willing to pay the ammount of 200 €, representing the registration fee and the monthly amount of 70€ ( payed in lei at the current rate exchange) at the specified deadline.

Otherwise I will bare the consequences described in the association Status.

Any change of the present registration form will be possible with upon common agreement.