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The Malta Association of Physiotherapists
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Membership Form
Should you wish to apply for membership kindly fill in you details (fields with * are mandatory) and press submit.
Membership within the Malta Association of Physiotherapists will fall under the categories: Council Member, Student Member, Affiliate Member, and Associate Member.
Council membership is open ONLY to physiotherapists with Maltese state registration.
Name and Surname*:
Postal Address*:
Home No.:
Mobile No.:
Work No.:
Email*:
State Registration No. (CPCM):
Type of Membership:
New Membership
Renewal
Membership options:
Council Membership (incl. Professional Indemnity cover) – € 135
Council Membership (excl. Professional Indemnity cover) – € 40
Student Membership – € 20
Affiliate Membership (incl. Professional Indemnity cover) – € 135
Associate Membership – € 40
If payment is not validated within 2 weeks membership form will be discarded
Membership renewal will be automatic unless the MAP secretariat is notified by email on secretariat@physiomalta.com
Please select prefered method of payment:
Online transfer
Cheque
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