Membership form

Membership registration form

Please complete the form below if you would like to subscribe to the British Medical Laser Association.

Your Name (required)

Your Surname (required)

Your Email (required)

Phone (optional)

Region - UK only (required)

If you are subscribing from abroad please state country

Country (optional)

Address (required)

Postcode (required)

Company or Organisation (required)

Areas of interest (required). You may select more than one

If OTHER for area of interest please specify

Qualifications (optional)

Membership of professional bodies (optional)

Present appointment (required)

Nominated by (optional): It is necessary for applicants to be nominated by a current BMLA member. Please include their name in the box below. If it is not possible to be nominated by an existing member, please send your CV to, alternatively you can upload it here.

Word or .Pdf file preferred. Max size: 500kb

Tick to agree that you would like to become a basic member of the British Medical Laser Association. You can cancel your subscription at any time. We do not give refunds.

Once your application for membership has been received and approved we will send you a welcome email along with your subscription details and payment methods./p>

Applications are subject to approval by the membership secretary.