Please fill in the form below and submit. You will require payment details (reference) for registration.
Payment can be made through PayPal (follow Payment page).
Payment can also be made through BACS to the Welsh Pain Society account :
Sort Code: 401623. Account number: 61240757
*Please note that you should receive an automatic response to your email on submission and payment (as usual for PayPal). If you don't receive it then there is a chance that your form may not have been submitted. Any problems, please contact firstname.lastname@example.org