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Application Form - Apply to Join DTA

 

Please select whether you are applying for:  

membership (no fee*)  

(since Jan 2016) membership (£12.50#)

membership (£51.50)

membership (£60.50)

 

The rates are for membership until 31 December 2017. Our subscription year is 1st January – 31st December.

or Download an application form (pdf)

*Student membership is only open to UK based students studying for a dental technology registerable qualification

# This rate only applies to those individuals who have completed their primary/registerable dental technology qualification

 

 

 

 

 

 

 

 

(day) (evening) (mobile)

 

 

 

 

 

 

 

 

 

 

 

 

 

    
    
    
    

 

           

 

 

   (for membership to Dec 2017)

   (for membership to Dec 2017)

   (for membership to Dec 2017)

 

How did you hear about us? Tick all that apply

Introduced by an existing member.  Name:

Visited the DTA stand at DTS

Visited the DTA stand at Dental Showcase

Article in Laboratory

Word of mouth

Can't remember

I was a member before

Other:

 

 

To prevent automated applications, please enter the code 29577:    

 

*Free membership offer only available to students studying in the UK