Fill out the form below.
Name of base job *
Title base job
Name osteopathic job *
Title osteopathic job
Disability accessyesno
Name *
Office name
Address
Zip Code *
City *
State *—Please choose an option—BurgenlandKärntenNiederösterreichOberösterreichSalzburgSteiermarkTirolVorarlbergWien
Phone *
Fax
E-Mail *
Homepage
Name
Zip code
City
State—Please choose an option—BurgenlandKärntenNiederösterreichOberösterreichSalzburgSteiermarkTirolVorarlbergWien
Phone
E-Mail
Name of school
Title after graduation
Osteopath for kidsyesno
Start of education
End of education
Proof of education
Choose file
Which data should be shown on the OEGO website? (only office addresses)
Choose InformationE-MailTelefonHomepageFax
Send info materials, news, etc. toPrivate E-MailOffice E-MailPrivate postal addressOffice postal address
Space for extra information
I agree that my data will be processed for club and job reasons. I confirm that all information put into this form is correct.
Agree * Newsletter per E-Mail I accept that my data will be published on the OEGO website *