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APPLY FOR LINCOLN MEDICAL SOCIETY MEMBERSHIP

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Information supplied on this form will be stored electronically but will not be shared or used for purposes other than the running of the society. 

APPLICATION FORM

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Membership Fees      

Associate membership is free of charge but expires when the qualifying post is left  Full membership is life long while the annual fee is paid  A standing order of £25 paid immediately and then annually should be made out to    

Lincoln Medical Society

Bank sort code 40-28-20

Account number 71407759

 

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