Long established society helping doctors
and medical students in Norfolk

Membership Application

Doctors Membership ▼
Medical Students Membership ▼

Doctors Membership is £15.00 per annum.

Please complete all fields.

Your Name

Your Telephone

Your Email

Home Address

Date of Birth

Year of Qualification

Year of Commencing Work in Norfolk

Work Address

Name, address and email of Proposer

Student Membership is a one off joining fee of £10.00 (without any annual subscriptions)

Please complete all fields.

Your Name

Your Telephone

Your Email

Term Address

Date of Birth

Year of Commencing UEA Course

Current Year of Study
2nd3rd4th5th Year

Home Address

PayPal

You can pay for your membership subscription via PayPal.

Pay with PayPal

Society Rules

View the rules of the Norfolk & Norwich Benevolent Medical Society.

Rules PDF - 1.4MB

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