British Association of Retinal Screeners Membership

Please fill in the details below to submit your application to the British Association of Retinal Screeners. Existing members will then either approve or reject your application according to a majority rule voting system.

You will be informed by e-mail as soon as a majority vote has been established.

Please note, if you are unable to pay via Paypal, you should download our postal membership form instead.

Applicant Details

Membership costs only £25.
 
Preferred Payment Type
 Paypal
 
Full Name, Including Title
Organisation
Post Held
Contact Address Line 1
Contact Address Line 2
Contact Address City
Contact Address County
Contact Address Postcode
Contact Telephone Number
Contact E-mail Address
 

Details of Proposing Member

Name of Proposing Member
Address of Proposing Member
Email of Proposing Member
Role of Proposing Member

I have read, and agree to abide by, the British Association Of Retinal Screeners' Constitution.
 
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