Registration is only for eye surgeons.

Member Registration Form

Start your sign up process. Please note that all information in this section is mandatory.

First Name*

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Degree

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Email*

Cell Phone*

Practice Name

Practice Website

LinkedIn Profile

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I agree to the same Privacy Policy as on the membership forum and to the use of cookies described therein. I acknowledge that this forum may be hosted outside my country and I consent to the collection, storage and processing of my data in the country where this forum is hosted.

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Important

Please note that the username will be automatically generated using your FirstName LastName Degree. Hence please make sure you have correctly entered your First Name, Last Name and Degree.

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Message*

Are you a current ECI Member?*

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No. If you select "No", please know that you will need to apply to join before gaining access to either the Forum or this website.

Do you still have access to the forum?

Yes

Member Registration Form

Start your sign up process. Please note that all information in this section is mandatory.

First Name*

Last Name*

Degree

Enter Your Degree

Email*

Cell Phone*

Practice Name

Practice Website

LinkedIn Profile

Check "I agree" below to complete registration

Agreement*

I Agree

I Don't Agree

HP Name

Important

Please note that the username will be automatically generated using your FirstName LastName Degree. Hence please make sure you have correctly entered your First Name, Last Name and Degree.