On-line Membership Form
Date of Birth (dd/mm/yyyy):
Individual Member ($30/– entrance fee, $20/– annual subscription)
Corporate Member ($30/– entrance fee, $300/– annual subscription)
Life Member ($30/– entrance fee, $100/– one time payment)
Individual membership shall be opened to all persons from healthcare professionals and individuals including patients suffering from incontinence.
Corporate Membership shall be opened to all commercial bodies, firms, government departments, clubs or any organisation interested in supporting the Society in furthering its aims.
Life Membership shall be opened to all persons.
Payment for membership should be made by teletransfer. Information as follows:
Bank name :
Account name :
Society for Continence (Singapore)
Account number :
Bank address :
301 Upper Thomson Road, Singapore 574408
You shall hear from us on your membership status within 14 days after forwading your membership fee.
adviced to print a copy of this form, for record purposes, BEFORE you click the submit button.
THE HONORARY SECRETARY
SOCIETY FOR CONTINENCE (SINGAPORE)
#07-03, 16 Kallang Place
© 2009-2019 Society for Continence (Singapore)
Site Designed By
medi-WebPage v 4.5a