Membership Form Application

Information will be kept strictly confidential.

Price:

$25 for 12 Months

First Name: First Name Required

Last Name: Last Name Required

MCR Number:* MCR Number is Required

Profession:* Profession is Required

Place of practice:* Place of practice is Required

Contact number:* Contact number is Required

Date of Birth: Date of Birth is not valid

Secondary email address (optional): Secondary email address (optional) is not valid

Type of Membership :* Type of Membership is Required

Ordinary Member (Annual Subscription - $25) Associate Member (Annual Subscription - $15)

Email:* Invalid Email

No val Please fix the errors above

Payment of Membership fees can be made in the following ways:

PayNow to Corporate UEN : S76SS0062L

For Bank Transfer

Name of Bank : DBS Bank Ltd
Bank and Branch No : 7171-024
Account Name : Singapore Society of Rheumatology
Account Number : 024-007051-4

Please email the Secretariat once payment has been made with a screen shot / proof of payment transaction.