Membership Application – The Singapore National Stroke Association (SNSA)

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Home >> Get Involved >> Membership Application

Membership Application

Do read the membership categories and criteria to ensure your eligibility for a particular membership type before applying. Instructions for ordinary, life and associate membership applications can be found below.

Membership applications can be made online or through a hardcopy application form.

Hardcopy Application

Download the SNSA Membership Form.
Return the filled form together with the subscription payment made either in cash or cheque issued to the
“Singapore National Stroke Association”.

Online Application

Thank you for your membership application.
Your application will be processed and a membership card will be sent to you.

I would like to apply for: *

I am a: *

Specify:

Email Address: *

Password: *

Confirm Password: *

Gender: *
MaleFemale

Salutation: *

First Name: *

Last Name: *

Telephone number: *

Date of Birth: *

Address: *

Postal Code: *

Race:

Language(s) Spoken:
EnglishChineseMalayTamil

Preferred mode of contact:
E-mailWhatsappTelephone call

How did you get to know about SNSA:
Words of MouthSNSA websiteReferral from hospitalsRoadshows and EventsSocial Media

Areas of interest (You may choose more than one options):
ProgrammesBefriending ServicesVolunteeringOutreach OpportunitiesOthers

Specify:

For healthcare professionals only

Occupation:

Name of Organisation:

Job Title:

I consent to Singapore National Stroke Association (SNSA) and their authorised agents and service providers processing my Personal Data for the following purposes: (a) Processing of membership application (b) Communication and publicity of SNSA’s programmes/initiatives/collaterals (c) Assessing of needs for service improvement (d) Purposes related to the services SNSA is providing and/or on matters relating to my ongoing membership with SNSA. I confirm that such consent (i) does not supersede any other marketing consents which I may have previously provided to SNSA and are in addition to any rights which the SNSA may have at law on personal data; and (ii) continues until such consents are withdrawn.

I would like to join SNSA mailing list and receive information about programmes, events and newsletters. By checking this box, I consent to the SNSA processing my Personal Data for market research, marketing programmes and to contact me about their products, services and promotions via email, text messaging, telephone call, postal mail and/or social media. I understand that I am free to update my preferences including to unsubscribe from SNSA’s mailing list. I confirm that such consent (i) does not supersede any other marketing consents which I may have previously provided to SNSA and are in addition to any rights which SNSA may have at law on personal data; and (ii) continues until such consents are withdrawn.

I confirm that I am fit for the above event and shall release and not hold Singapore National Stroke Association (SNSA) or any of their employees, servants or agents liable in any way whatsoever for any loss, personal injury, mishap, accident, injury or loss of life and/or property arising directly or indirectly, as a result of or in connection with this event. I hereby agree that I shall keep SNSA, and their employees, servants or agents fully indemnified against any action, proceeding, liability, claim, costs and expenses incurred, suffered or sustained by me arising from my participation in this event. I also agree for my photographs to be used for SNSA publicity purposes

Name

Post Code

Product Name(Required)

Product Name

Price: $ 10.00

Quantity:

1 Toa Payoh Lorong 2 Braddell House #05-01 S(319637)

(65) 6222 9514

contact@snsa.org.sg

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Useful Links
- Stroke Survivors’ Bills of Rights
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Resources
Get Involved
Activities
News & Media
Useful Links
- Stroke Survivors’ Bills of Rights
Contact Us

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