Membership Form - for Institutions

As PACAM Institutional Member, representatives from your organization will be invited to regional update meetings each year where you are updated on palliative care progress in and outside Malawi, and will present organizational views at the annual general meeting.

Institutional Membership Category

Institutional Membership Fee

Standard Membership


Bronze Membership


Silver Membership


Gold Membership


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:

Pllease state the name of the institution.

If you are renewing your membership, please insert your membership number above.

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.

Please state above the services your institution offers.

Select above which type of institution you are.

Please state the Last Name of Key contact Person

Please state the First Name of Key contact Person.

What is the organisational position of they key contact person at your institution?

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

If you are not the key contact person you have stated, please enter your name above.

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