STUDENT MEMBER

Please note that student membership is open to students studying for a dental hygiene or dual qualification in dental hygiene and therapy in the UK. Complete the details below and once submitted please allow 10 working days for your application to be processed

Surname:*
Maiden Name:
First Name/Names:*
Title:*
Address For Correspondence:*
Date of Birth:*
Telephone (Home):*
Telephone (Mobile):
E-mail:
Name Of Training School:*
Course Start Date:*
Course End Date:*
Qulification Studying For:*
I wish to apply for student membership and understand that the cost will be met by BSDHT for the duration of my training:

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When you have completed the form, please click the Send Details button ONCE to send.

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