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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 28 pence from the Inland Revenue, helping your donation go
further. This means that £10 can be turned into £12.80 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: David Wolton 34 Estelle
Road London NW3 2JY The
Foundation for Al-Quds Universotu Medical SchololRegistered Charity No
1063835, a company limited by
guarantee No 3398543 England, Advisory
Council: Professor Colin Green FRCS (president) Mustafa Beidas Sawsan
Asfari* Dr Mahmud Bustami* Dr
Pauline Cutting OBE FRCS Professor Simon Frostick FRCS Dr Saleem Haj Yahia Dr
Abdel Raouf Garoushe* Liz Green Dr
Fuad Haddad* Professor Georges Hennen Dr Rafiq Husseini* Zina Jardaneh* Dr Ahmed Massoud* Chris
McConville* (treasurer) Dr Lina Nashef* Said Shehadeh* David Wolton*
(chairman) Mr Farouk Younis FRCS* registered office
75 & 76 Shoe Lane
London EC4 A 3JB David Freeman (secretary) *trustees |
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