Sri Lankan Psychiatric Association (UK)

Membership online application form

 

 

Name:

               

 

 

 

Address:

               :

 

 

Telephone:

              

Fax:

              

 

E-mail:

              

 

I wish to become a member of the Sri Lankan Psychiatrists’ Association (UK).

Please tick whichever is applicable

 

Full Membership (for all Psychiatrists of Sri Lankan origin)

Annual Membership fee:

Consultants - £25

Non Consultants - £20

Associate Membership (for other professionals of Sri Lankan origin who are associated with Psychiatry - £15

 

             I have enclosed a completed standing order (please note that payments will only be accepted as standing orders)

                  

 

Please check all the information and if you are happy please click on Submit button below. 

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