Membership Form

All inclusive annual subscription is currently £65.
Please either fill in and submit the form below or contact:

Vasant Oswal Treasurer of BMLA

Vasant Oswal Mr V.H. Oswal, FRCS Hon. BMLA Treasurer Far Shirby, Upleatham Redcar, Cleveland TS11 8AG, UK Phone: 01287 622000 or 01287 625751 (both numbers are also faxes)

1. Full membership

This confers full voting rights and all benefits of BMLA membership, ELA membership, and annual subscription for the official BMLA journal, Lasers in Medical science published by Springer. Current Full membership fee is only £65.00. This is less than the cost of the journal alone!

2. Basic membership

This confers full voting rights of the BMLA, but not ELA membership and not the journal at discounted rate. Current fee is £25.00.

Please indicate the type of membership requested in the box marked "Class of Membership"

Please fill in the form below for further information.

Title eg Mr, Mrs, Dr, Prof:	In upper case
First name:
Last name:
Telephone:
Fax:
Email (please check):
Confirm Email:
Company or Organisation:
Contact address Mailing address: (it is advisable to be very specific and to choose personal address if possible, to ensure that the journal copies do not get 'lost' in the internal institutional mail system. Please note that your mailing address will be passed on to the publishers of the journal.)
Class of Membership:
University Degree(s). Please state Degree Subject, date of award:
Diplomas, Certificates. Please state date of award:
Membership of Professional Bodies:
Present appointment: Post held, Name, address and telephone if different from above.
Laser Interests: Speciality:
Type of Laser Employed (please give full details):
Training Undertaken:
Number of Years Laser Usage:
Supportive Staff - (technical, medical, physics, research staff etc.:
Other Relevant Details:
Nominated by*:
*Applicant should be nominated by an existing member of BMLA. If you are unable to identify a BMLA member who will nominate you, please provide a brief CV along with your application form.
Method of payment once your membership is accepted and confirmed:
Cheque                  Name of the account: Standing Order        Name of the account: We regret we do not accept payments by credit or debit card.
Scrambled Letters:

  

To ensure that there is no unnecessary delay, payment should accompany application form. Preferred method of payment is Standing Order. The standing order form can be found by clicking on the following link which is in Microsoft Word Format.

Standing order form for Full Membership
Standing order form for Basic Membership

Payment may also be made by cheque, payable to BMLA.

If membership fees are paid through a bank account with name other than the one mentioned above, please clearly state the name of the account so that the money can be allocated to your membership fees. Failure to do so will result in non receipt of the journal since we are unable to identify the source due to stringent money laundering banking rules.

Important notice for Overseas Applicants - click on the following link - Instructions for foreign remittance

Please send your completed form to Vasant Oswal, Hon Treasurer.

Lasers in Medical Science is the official journal of the British Medical Laser Association.