Registration for Membership in Association

Fill out the membership application form below to become a registered member of ASLP Malta.

Please note that the membership will be confirmed as soon as the payment is effected.

Payment can be effected using one of the following methods:

  • Cash to be given to Alexandra Ameen, Treasurer OR
  • Cheque payable to “Association of Speech-Language Pathologists”, and sent to Association of Speech-Language Pathologists, Malta Federation of Professional Associations, The Professional Centre, Sliema Road, Gzira GZR 1633, Malta, OR
  • Internet Banking (Bank of Valletta IBAN MT97VALL22013000000014911380012). A Standing Order to this bank account can also be made using Internet Banking.

Membership Application Form

CPCM Registration Number *

Full Name *

Address *

Home Phone Number

Work Phone Number *

Mobile Number *

Email Address *

Membership Fee Type *

 

 

 

The information provided in this application will be used solely by the ASLP in accordance with the Data Protection Act 2001. No other disclosures of the information will be made.