* Required Field.
Title* :   Family Name* :
Given Name* :   IC/FIN :
St Address* :
Postal Code* :   Country* :
DOB : (dd/mm/yy)
Telephone1* :   Telephone2 :
Email* :
Organization* :   Position* :
 
Membership Categories and Annual Membership Fees for 2010 (please tick) *
  Ordinary (Holders of a post-graduate degree) S$60
  Associate (Non-PG degree holders) S$60
  Student (Post Graduate students) Free of charge
  Life (PG holders only) S$600
 
  Donation S$
  Total Payment* S$
 
Method of Payment*
  Paypal
(If you are using a pop-up blocker, please kindly enable pop ups before applying with Paypal.)
  Crossed cheque made payable to "Stem Cell Society Singapore"
Please indicate at the back of cheque your name and contact number.
Send cheque to:   Stem Cell Society Singapore ( Attn. Gerald Udolph ), 8A Biomedical Grove , #06-06 Immunos, Singapore 138648
  Bank Transfers (Detail below)
   
Payee : Stem Cell Society Singapore
Bank :

DBS (Code: 7171)
Branch : Holland Village (Code: 063)
Account No. : 003-906495-0

Please use your name as a transaction descriptor.
Your Transaction Code or Reference :
For enquiries,please contact us at manager@stemcell.org.sg.