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 must pay income tax or capital gains tax in the UK, 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

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

Excecutive Board: David Wolton (Chairman), Sawsan Asfari, Mr Saleem Haj-Yahia FRCS, Mireille Masri, Dr Lina Nashef, Dr Mahmud Bustami, Zina Jardaneh, Dr Ahmed Massoud, Farouk Younis FRCS, Dr Fuad Haddad, Dr Abdel Raouf Garoushe.

Advisory Council: Mustafa Beidas, Dr Pauline Cutting OBE FRCS, Professor Simon Frostick FRCS, Professor Georges Hennen, Dr Rafiq Husseini.

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: 34 Estelle Road, London, NW3 2JY, David Freeman (Secretary).