Member Aplication - Namibian Dental Association

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Member Aplication

Payments are to be made to the NDA on an annual basis to maintain your membership. Please use your initials and surname as reference.
Select the type of member you want to apply for below and complete the form.
DESCRIPTION PRICE
Dentists/Tandartse N$ 900.00
Oral hygienist/Mondhigieniste N$ 250.00
Please fill in all the details below.
Title: 
Name: 
Surname: 
Tel: 
Cell: 
E-Mail Address: 
Practice Name: 
Practice Address: 
 
 
Town
Country
 
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