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MEDATS Member Registration Form
Annual subscriptions (payable in pounds sterling only) run from 1st January – 31st December
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* Indicates required question
Name: First
*
Your answer
Name: Last
*
Your answer
Select Your Membership Type
*
Individual - £15
Household - £20
Student - £10
Institution - £30
Additional Member Name (Household Memberships only) or Institution Name (Institutional Memberships only)
Your answer
Street Address (optional)
Your answer
Street Address Line 2
Your answer
Town/City
Your answer
State/Province
Your answer
Postcode/Zip
Your answer
Country
*
Your answer
Email
*
Your answer
Second Email (Household Memberships only)
Your answer
Areas of Interest (optional)
Your answer
Payment Method
*
PayPal
Bank Transfer
Cheque
Other
How MEDATS Uses Your Information
*
The MEDATS General Data Protection Regulation statement is available at
http://medats.org.uk/gdpr/
I want MEDATS to communicate with me via email and to save my contact information.
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