Membership for Professionals

Sri Lankan Medical & Dental Association in the UK

Annual subscription for professionals

Thank you for joining our charity. Please fill in the registration form in full and kindly enter pay details for annual subscription.

Terms & conditions

Welcome letter

Name:*

First Name Required Last Name Required

Address Line 1:* Address Line 1 is Required

Address Line 2: Address Line 2 is not valid

City:* City is Required

Country:* Country is Required

State/Province:* State/Province is Required

Zip/Postal Code:* Zip/Postal Code is Required

Your email:* Your email is Required

Contact number:* Contact number is Required

Date of birth:* Date of birth is Required

Job title:* Job title is Required

Place of work: Place of work is not valid

Professional registration number (GMC/GDC): Professional registration number (GMC/GDC) is not valid

Gender:* Gender is Required

I wish to enrol as a member of the SLMDA in the UK. I agree to make a recurring annual payment for my membership by the expiry date. I will keep my membership details up to date*

Would you like to consent to Gift Aid?
By selecting 'Yes,' you confirm that you are a UK taxpayer and understand that for every £1 you donate, the charity will receive an additional 25p from HM Revenue and Customs at no extra cost to you.:* Would you like to consent to Gift Aid?
By selecting 'Yes,' you confirm that you are a UK taxpayer and understand that for every £1 you donate, the charity will receive an additional 25p from HM Revenue and Customs at no extra cost to you. is Required

Yes No

Username:* Invalid Username

Email:* Invalid Email

Password:* Invalid Password

Password Confirmation:* Password Confirmation Doesn't Match

Password Strength Password must be "Medium" or stronger

Strip

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I have read and agree to the Terms & Conditions of membership*

This site collects names, emails and other user information. I consent to the terms set forth in the Privacy Policy.

No val Please fix the errors above

Pay SLMDA

£40 / Year

Terms: £40 / Year

	Membership for Professionals – Initial Payment £40 / Year	£40.00
	Total	£40.00

Membership for Professionals – Initial Payment

£40 / Year

£40.00

Total

£40.00