British Teledermatology Society

How to join

Membership of the BTS costs £20 per annum. Please complete the following form in BLOCK CAPITALS, print, sign and send to: Dr. Carolyn Charman, Dermatology Department, Royal Devon and Exeter Hospital (Heavitree), Gladstone Road, Exeter, EX1 2ED. Please enclose a cheque for £20, payable to the British Teledermatology Society.

Surname
Forenames
Title
Date of Birth
Nationality
Speciality
Status
Qualifications
Main Hospital
Post Held
Home Address
Postcode
Telephone
Fax
Email
Preferred Mailing Address Home Work
Signed
Date
Are you currently a member of the British Dermatology Society? Yes  No 
If no, your application should include two endorsement signatures from members of the BTS
I support the enclosed membership application
Name

 

 
Signature

 

 
I support the enclosed membership application.
Name

 

 
Signature