TTEMA Membership Form
Welcome! Thank you for your interest in becoming a member of TTEMA! This form is to join TTEMA for the period of 2020 until the next AGM in 2021.

You can fill out this form before you pay on the day of the AGM on Saturday 14th March, 2020 in Amphitheatre B at 9:00a.m.-12:00p.m. (but if you want to come early to beat the rush, we won't stop you :) ).

The cost of membership is:
1. Full Members (Specialist Emergency Medicine physicians, such as DM graduates and those on the specialist register): $600.00TTD

2. Associate Members (All other doctors working in Emergency Medicine, including Diploma or DM students in the Postgraduate Emergency Medicine Programme): $300.00TTD

3. Affiliate Members (Professions allied to Emergency Medicine, such as Paramedics, Nurses and EMTs): $100.00TTD

Payment options include:
1. Cash
2. Cheque
3. Bank Draft
4. Online Payment
5. Direct Deposit

• Bank drafts and cheques should be made out to: ‘Trinidad and Tobago Emergency Medicine Association’

• The account number for direct or online payment is with:
Republic Bank Account: Trinidad & Tobago Emergency Medicine Association;
Account Number: 260801755001.

In the case of online payments and direct deposit, kindly take a picture of, or screen-shot your confirmation receipt of payment and email it to: ttema.org@gmail.com as proof of payment.

Other payment options:
We will be accepting payments on the day of the AGM in the form of cash, as well as with a point of sale machine - which has been made available for us by the Paediatric Emergency Department Cares Foundation.

But first, let us know your email address so we have something to assign your membership to:
Email address *
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