Membership Application :: Singapore National Stroke Association (SNSA)

Membership Application

Do read the membership categories and criteria to ensure your eligibility for a particular membership type before applying. Instructions for ordinary, life and associate membership applications can be found below. For corporate membership application, please click here to apply.

SNSA membership applications can be made online or through a hardcopy application form.

Hardcopy Application

Download the hardcopy Membership Form.
Return the filled form together with the subscription payment
made either in cash or cheque issued to the
“Singapore National Stroke Association”.

Online Application

Please fill in the electronic form below, and make payment through Paypal.

* Name:

* Address: * Postal Code:

Occupation:

Name of Organisation (for healthcare Membership):

* Telephone (H): Telephone (M):

Telephone (O): Telephone (F):

* Email Address:

*Date of Birth:

* Gender:

Male

Female

Language(s) Spoken:

I am a:

Others:

* I would like to apply for:

How have you heard about SNSA:

Others:

Persons below 18 years of age shall not be accepted as members without the written consent of their parents or guardians.
The personal information which I have provided will be used solely for the following purposes: (a) Processing of membership application (b) Communication and publicity of SNSA’s programmes/initiatives/collaterals (c) Assessing of needs for service improvement (d) Purposes related to the services SNSA is providing and/or on matters relating to my ongoing membership with SNSA. The information provided will not be disclosed to a third party without my consent. This membership may be terminated upon my written request.

Thank you for your membership application. Your application will be processed and a membership card will be sent to you.

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