Please fill in the form below and submit. You will require payment details (reference) for registration. 

Payment can be made through BACS to the Welsh Pain Society account :
Sort Code: 401623. Account number: 61240757
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*Please note that you should receive an automatic response to your email on submission and . If you don't receive it then there is a chance that your form may not have been submitted. Any problems, please contact welshpainsociety@gmail.com