28/01/2015

GSOAM Membership

An annual fee fo GSOAM Membership is 250 GEL. Bank tranfer details will be shown after complete an application form below.

Application Form
  • Name, Surname*
    0
  • Date of Born*
    1
  • Place of Born*
    2
  • Email*
    3
  • Telephone*
    4
  • Specialty*
    5
  • Company / Position*
    6
  • Additional Info*
    7
  • Diploma*Copy of Diploma
      8
    • Captcha
      9
    • 10