LIFE MEMBER FORM

 

Send Back to –

Contact Address:

No (249), Theinbyu Road, Mingalar Taung Nyunt Township, Yangon Region, Myanmar.
Ph : (+95 1) 378863, 380899, 388097, 394141,09 8601677
Fax :(+95 1)380899, 394141
Email : [email protected]

* 10,000 kyats for life member fee, 4,000 kyats for member card and registered post.
Total is 14,000 kyats.
Please pay to MYANMA ECONOMIC BANK, Branch (4), Yangon, Myanmar
Account Name: Myanmar Medical Association
Account Number: CB 001169

* Please send back this life membership form, bank receipt and photocopy of valid sama to [email protected]