PRINTED EDITION SUBSCRIPTION FORM – 2026

A. SUBSCRIBER IDENTIFICATION
(required for EMC reporting)

PROFESSIONAL TITLE (tick one)
Prof. Dr.Assoc. Prof.Dr. SpecialistDr. SeniorResidentOther:

FIRST NAME

LAST NAME

CMR membership number (required for EMC credits):

Medical specialty:

Workplace/Institution:

City:

County College of Physicians (if applicable):

B. CONTACT DETAILS (required)

E-mail (required):

Mobile phone (required):

C. DELIVERY ADDRESS FOR THE PRINTED JOURNAL (required)

Receipient Name:

Building/staircase/floor/apartment (optional):

City:

County:

Postal Code:

Country:

D. SUBSCRIPTION DETAILS (required)

Subscription year:
2026 (Annual print subscription – all printed issues published in 2026)

Request EMC credits (2026):
YES (10 EMC credits – CMR)NO (subscription only, no EMC reporting)

Preferred invoice type (tick one):
Individual (invoice issued to subscriber name)Institution (complete Section E)

E. INVOICING DETAILS (only if “Institution” is selected)

Institution/Company name:

Tax ID (CUI/VAT):

Trade Registry No. (optional):

Billing Address:

Invoice e-mail (recommended):

Phone (optional):

F. PAYMENT (required)
Payment method: Bank transfer (RON)
BENEFICIARY: Editura R.P. SRL
BANK: Banca Transilvania
RON ACCOUNT (IBAN): RO66BTRLRONCRT0P65180501
Amount paid: 150 RON (lei)

Date of transfer (dd/mm/yyyy):

“TPCT 2026 subscription – [Full Name] – [CMR number]”
Your payment reference/transaction ID:

Proof of payment attached (tick one):
Yes (copy/scan attached)Not attached (subscription will be processed after proof is received)

G. DECLARATIONS AND CONSENT (required)
1) Data accuracy:
I declare that the information provided in this form is true, complete, and up to date.
2) EMC eligibility
I confirm that I am a physician registered with the Romanian College of Physicians (CMR) and I understand that EMC credits can be allocated only to eligible CMR members. I understand that my CMR membership number is required for the allocation and reporting of the 10 EMC credits (2026).
3) Personal data processing (GDPR)
I consent to the collection and processing of my personal data by the TPCT Editorial Office and the publisher (Editura R.P. SRL) for the purposes of: managing my subscription, delivering the printed journal, issuing invoices, and (if requested) allocating and reporting EMC credits to CMR.

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