| Friends Form |
Friends
of CDA help to support our work by donating not less than £20
per year for individual Friends; |
| To
become a Member of CDA Friends print out this Form, write
your information in uppercase letters, make out your
cheque to: "The Commonwealth Dental Association" and then send it to: Ulrike Matthesius, CDA Administrator, c/o The British Dental Association, 64 Wimpole Street, London W1G 8YS, U.K. |
| Name: .................................................................................................. |
| Address:.............................................................................................. |
| ............................................................................................................. |
| ............................................................................................................. |
| ............................................................................................................. |
| Telephone:.......................................................................................... |
| Fax:...................................................................................................... |
| E-mail:.................................................................................................. |
| Amount Donated: £............................................................................. |
İThe Commonwealth Dental Association
Last Revised:22/01/2009