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Application Form - Apply to Join DTA

 

Please select whether you are applying for:  

membership (no fee*)  

(since Jan 2017) membership £25.00# (= £25.00 per year)

membership £111.00 (= £111.00 per year)

 

WE REGRET THAT MEMBERSHIP IS ONLY OPEN TO INDIVIDUALS LIVING IN THE UNITED KINGDOM

 

The rates are for membership until 31 December 2018. Our subscription year is 1st January – 31st December.

 

*Student membership is only open to UK based students currently 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)

 

 

 

 

 

 

If qualifying this year, please complete the 'Newly Qualified' application form instead

 

 

 

 

 

 

 

    
    
    
    

 

           

 

 

   (for membership to Dec 2019)

   (for membership to Dec 2019)

   (for membership to Dec 2019)

 

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 73640:    

 

I give my consent to the DTA retaining the above data for a legitimate purpose in accordance with the 2018 General Data Protection Regulations to enable them to provide me with membership services. A copy of our GDPR policy and your rights under these regulations is available upon request.

 

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