Dear Sir or Madam,
If you are interested in becoming a member of our association, you can download the required membership documents, fill them out, and return the signed forms to the Razi Society.

The membership documents consist of the following:

  • Direct Debit Authorization (SEPA Mandate)
  • Membership Application Form

Please complete both forms and send them either by post to:

Contact:
Dr. Maryam Zokai
Richard-Wagner-Str. 9, 61250 Usingen
Steuernummer: 342/5926/3846 – Finanzamt Siegen
razigesellschaft@gmail.com

or scan and send them via email.

The annual membership fee is €75. We kindly ask you to transfer the amount to the following bank account:

  • Account Holder: International Razi Society for Medicine and Psychotherapy (IGRMP)
  • Reference: Razi Society
  • Account Number: 0070492504
  • Bank Code (BLZ): 51390000
  • IBAN: DE05 5139 0000 0070 4925 0
  • Bank: Volksbank Mittelhessen

To support our administrative process, we encourage you to grant us a direct debit authorization. The form is attached.
Creditor Identification Number for the SEPA Direct Debit Scheme: DE60ZZZ00001543032

You may also register online; however, please note that we still require a signed direct debit authorization form.

After reviewing your documents and qualifications, we will notify you in writing whether your membership has been accepted.

Kind regards,
Your Razi Society Team

Forms for Download

(available in German)

 

Registration form(PDF)
Registration form(Word)
RAZI Bylaws(PDF)

    Membership Application Form

    PLEASE ENTER YOUR INFORMATION

    Some information is required and marked with an asterisk (*). You cannot submit the form without filling these fields.

    I hereby apply,

    Gender:

    Title

    Last Name (required)

    First Name (required)

    Institution, Organization

    Department

    Street, House Number

    Postal Code

    City, Country (required)

    Your Email (required)

    Phone (required)

    Participation Fee

    Regular Member: €70Student: €50

    Important Payment Information:

    Please indicate on the bank transfer: (Name – Date – Admission Fee)
    You are officially registered once we have received your payment.

    * If you would like to become a RAZI member, please email razigesellschaft@gmail.com (www.razingo.com).
    ** Regular members pay the full amount. Students receive a discounted rate.
    Note: You are only registered after we receive your payment and you receive confirmation from us.

    Additional Questions:

    Bank Details:

    Account Holder: International Razi Society for Medicine and Psychotherapy (IGRMP)
    Reference: Razi Society
    Account Number: 0070492504
    Bank Code (BLZ): 51390000
    IBAN: DE05 5139 0000 0070 4925 0
    Bank: Volksbank Mittelhessen

    Contact Information:

    Contact:
    razigesellschaft@gmail.com