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Y? (please tick one only) Doctor / hospital Principal member Patient Group (if on a company plan) Please complete either Section A or Section B Section A - Payment by cheque In which currency would you like us to pay the cheque? (please tick one only) Currency of your invoices Currency of your subscriptions Currency of your bank account Please specify this: Cheques payable to members will be sent by post to the correspondence address provided on the front page. Section B - Payment by Elec.

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