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Application Form - Apply to Join DTA

 

Please select whether you are applying for:  

membership (no fee*)  

membership (£85.00)

membership (£100.00)

or click here to download an application form (pdf)

 

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

 

 

 

 

 

 

 

 

(day) (evening) (mobile)

 

 

 

 

 

 

 

 

 

 

 

 

 

 Removable Prosthetics   
 Fixed Prosthetics   
 Orthodontics   
Other:    

 

 Employed          Self Employed

 

 

(for membership to Dec 2017)

(for membership to Dec 2017)

 

To prevent automated applications, please enter the code 29489:    

 

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