SRS Membership Application Form
Membership of the SRS is a flat rate of £25 for all members. This provides you with discounted meeting rates and regular updates about radiology in Scotland. You will have voting rights at the AGM (held at Autumn meetings). If you are a trainee, you also have the opportunity to take part in the Anne Hollman Award at the Autumn meetings, and access to the travel and study bursaries.
Email address *
Name *
Qualifications i.e MBChb, MRCS, MRCP, FRCR, FRCS
Current Position *
Work Address / Hospital Site *
I acknowledge that my first year membership fee of £25 has been paid to Scottish Radiological Society. Membership Account number: 10500449 Sort code: 82-53-03 *
Required
You are paying the annual subscription of £25/year by standing order (£10 for non-voting associate). Please add your reference to the standing order as follows, name followed by GMC number e.g. Wilhelm Roentgen would be WR2377192 *
Date standing order initiated *
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GDPR: I agree to the Scottish Radiological Society using my contact details for the purpose of membership reasons only, and that these will never be shared with third parties without my explicit consent. *
Required
A copy of your responses will be emailed to the address you provided.
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