Worldwide Hospice Palliative Care Alliance Membership Form

Organisation name(*)
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In this next section we are requesting which category of membership you are applying for. To find out more about WPCA membership categories, download the membership brochure from this web page above the form.

Which category of WPCA membership are you applying for?(*)

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Is your organisation a member of any of these organisations?

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Who are the members of your organisation?

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How many members does your organisation have?
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Please add your organisation's registration details if applicable (including number and country of registration)
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Contact Us

  34-44 Britannia Street, London, WC1X 9JG, United Kingdom

  by phone: +44(0) 207 520 8200

  by fax: +44(0) 207 278 1021

  by e-mail: info@thewhpca.org

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