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Join the BSRD

To apply to become a member of the British Society for Restorative Dentistry (BSRD) complete the form below. When the form is complete you'll be redirected to our secure payment provider so that you can pay the membership fee by credit card.

Membership type...

Select the membership type:

About you

Your title: *

Your first name: *

Your surname: *

Your organisation name: (Optional)

Your primary address

Address line 1: *

Address line 2: (Optional)

Address line 3: (Optional)

City / Town: *

County / State / Region: (Optional)

Postal / ZIP code: *

Country: *

Your email address and telephone number

Your email address: *

Confirm your email address: *

Your telephone number: *

Your password

Your password: (Must contain between 5-15 characters) *

Contact permissions

The British Society for Restorative Dentistry (BSRD) takes your privacy seriously and will only use your personal information to administer your membership and to provide the products and services you have requested from us (for further details, please see our privacy policy). We will contact you primarily by email but occasionally by post.

However, from time to time we would like to email you with details of our conferences and events, events/courses run by other organisations, job vacancies, surveys etc.

I consent to the BSRD contacting me:

Please select what we can contact you about:

You may update your preferences at any time by logging into your member account.

Additional information

GDC number:

Year primary dental degree obtained:

Payment details

Cardholder name: *

Is the cardholder address the same as the primary address?

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To find out about...

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