MEMBERSHIP APPLICATION & RENEWAL FORM

All prospective members of CONDADA are required to complete this registration form. Indicate any changes; Membership runs for 12months consecutively from the time of full payment of dues.      

SECTION 1: MEMBER CONTACT INFORMATION
TITLE
*Star the e-mail and phone number you would like listed in the directory
SECTION 2: MEMBERSHIP TYPE AND PAYMENT DETAILS  
MEMBER TYPE
FULL  
STUDENT/RETIRED
ASSOCIATE
INSTITUTIONAL
PAYMENT METHOD
DESCRIPTION
Full Membership
Full time students and Retired Members
ASSOCIATE Associate  membership is open to all who share CONDADA’s  objectives or wish to help advance them but cannot become full members (restricted from voting, holding office  or chairing committees)
Institutional Membership is open to institutions working in theMedical/Healthcare field.
For Membership  descriptions see
https://www.condada.org.uk/join-us
MEMBERSHIP DUES (Annual)
£100.
FREE
£50
£100 per member
Please Check
 SECTION 3: MEMBER INFORMATION
Permission to use photographicimages:  

Photographs of CONDADA members may be used in various communications incl. promotional material and website. Group photographs taken at our events may be used without identifying individual members.
For individual photographs, please indicate your permission for use:

Ideally you can also download the form and also upload it after filling
Download Form
Thank you! Your submission has been received!
An email will be sent containing the notification and a certificate confirming the type of membership and its renewal date.
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