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Membership Form
Full Names (Organizations) or : Mr/Mrs/Ms/Dr./Prof :
Organizational Affiliation (For Individuals only):
Designation:
Membership Category:
Date:
Area(s) of Interest:
Postal Address:
Physical Address:
Tel(Office):
Tel(Mobile):
Fax:
Email:
                                                 


Membership Fees:


Organizations: 50,000/=
Individuals: 20,000/=


Annual Subscription:


Bronze Member: 20,000/=
Sliver Member: 50,000/=
Gold Member: 100,000/=
Platinum Member: 500,000/=

Download Membership form

Membership & Annual Subscription Fees contribute to UGANET's activities

Send your completed Form to the UGANET Secretariat or by mail or electronically, together with your Payment for Membership Fees and Annual Subscription Fee to The Uganda Network on Law, Ethics and HIV/AIDS (UGANET)

"JOIN US TO FIGHT HIV/AIDS IN UGANDA"
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