Membership Form: for Individuals

As a PACAM member you will be invited to regional update meetings each year where members are updated on palliative care progress in and outside Malawi, and you will be able to present your views at the annual general meeting

Individual Membership Category	Individual Membership Fee
Standard	K2,000.00
Student	K1,000.00
International	$20

First make a deposit into our bank account below for your specific membership type. You will need a scan of your deposit slip or picture of wire-transfer/proof of payment to complete this online form.

Bank details:

Account name: Palliative Care Association of Malawi
Bank name: National Bank of Malawi
Account number: 2837234
Branch : Lilongwe
Swift code: NBMAMWMW007

Registration Form

Required *

Last Name

First Name

Status of Registration

Year of First Registration

If you are renewing your membership, please state which year you first joined us. If you have forgotten the day or month default to 1 January and select the correct year.

Registration Number

Sex/ Gender

Occupation

Please state your occupation.

Institution

If you are applying under or for an institution, please state its name.

Course

If you are a student, please state what course of study you are currently pursuing.

Phone number

E-mail address

Please give us the email address you would like us to reach you at.

Employment Body Institution type

District

Proof of payment

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Membership Form: for Individuals

Registration Form

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