Become a member of FQMS

Become a member

To submit your application please either complete the form below, or download the attached form

Print and sign, and send with your cheque to the address below.

Membership donation is £36.00 a year per person. Any donation above this amount is gratefully received.

Please select one of the following options:

I/We wish to renew our membership of FQMS

I/We support FQMS's object and wish to apply for membership

Using Gift Aid means that for every Pound you give, we get an extra 25 Pence from the Inland Revenue, helping your donation go further. This means that £10 can be turned into £12.50 just so long as donations are made through Gift Aid. Imagine what a difference that could make, and it doesn’t cost you a thing.

So if you want your donation to go further, Gift Aid it. Just select the Gift Aid Declaration box below.

Gift Aid Declaration: I/We wish all donations made since 6 April 2000 and all donations we make from the date of this declaration until you are notified otherwise to be treated as Gift Aid donations.

To qualify for Gift Aid, what you pay in income tax or capital gains tax must at least equal the amount we will claim in the tax year.

Name/s

Address

Postcode

Email

Telephone

Signature

______________________________________

Date

Cheque/postal order £ __________________ enclosed

When filled and signed, please post this form to:

Adam Wolton, 20 Goodge Place, London, W1T 4SH

Patrons: Professor Ronald Dworkin, Rt Hon Earl Gowrie, Sir Magdi Yacoub FRS, Sir Jonathan Miller, Sir David Gilmour, Rt Hon Lord Justice Sedley.

Advisory Council: Mustafa Beidas, Dr Pauline Cutting OBE FRCS, David Freeman, Professor Simon Frostick FRCS, Professor Georges Hennen, Anthony Leonard (Treasurer), Mazen Masri.

Trustees:Dr Mahmud Bustami, Dr Saleem Haj Yahia, Dr Fuad Haddad, Mireille Masri, Dr Ahmed Massoud, Dr Lina Nashef, Said Shehadeh, Professor Mohamed El-Tawil, Anthony Leonard

The Al-Quds Foundation for Medical Schools in Palestine, and FQMS, are working names of The Foundation for Al-Quds University Medical School Registered Charity No 1063835, a Company limited by guarantee No 3398543 England, Registered Office 20 Goodge Place, London W1T 4SH