Membership Application
PhD MD MSc BSc Other
Full Name (First, Middle, Last)
Proffession
Institution
Address
Postal code/Zip
Country
Contact phone
Mobile No.
E-mail
Membership Categories & Dues:
Fellow/Member-Physician-Industry $200 US
(includes the new-bi-monthly journal Photomedicine and Laser Surgery)
Fellow/Member - Scientist $150 US
Fellow/Member-Nursing-Allied Health $150 US
Student $30 US
(Online access of the journal Photomedicine and Laser Surgery)
WALA Non-Journal Membership $50 US
WALA Instittutional Membership $250 US
Mode of Payment:
Bank Transfer order to:
Al-Rajhi Bank, Riyadh, Saudi Arabia
Account No. 114 6080 102 46182