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MEMBERS • MEDICAL MEMBERS



Doctors For Life International's (DFL) Medical membership is available to any medical doctors, specialists, dentists, veterinary surgeons, and professors of medicine who agree with the principles and goals of DFL. Non doctors (including nurses, midwives etc) can join "Friends of Doctors For Life"

Doctors Membership Form:
To speed up the membership process, you can become a member by filling in the form below and then submitting it at the bottom of this page:

Choose one of the following:


** Compulsary fields

Name and Surname**
Title
Qualifications**
Occupation**
Telephone number (w)**
Telephone number (h)
Telephone number (fax)
Mobile phone
Physical Address
City**
Postal Address**
Code**
City, Country**
Email**

** Compulsary fields

Please choose a membership category:
Students; free membership.
Pensioners/Retired/Missionaries; free membership
Other Proffesionals - suggested membership fee is R600 ($100 US) annually.

Annual Donation Amount and Payment
:

I agree to...
Post my annual membership fee of R350/US$60
Make Membership fee payment online now
Choose not to contribute/qualify for free membership
Receive a debit order
Choose my own amount of:
My currency is (R, $, £ etc):


>> More payment options
(e.g. from cheque / savings account / debit order)


I am interested in the following issues
Traditional Healers and Medicine - opposing the introduction of traditional healers into the health system as well as investigating different forms of Alternative medicine.
Alcohol Abuse - Defined as an addiction by some and a disease by others.
Abortion - When is a life, a life? Defending the sanctity of life and the unborn child
Substance Abuse - drugs and the brain, rehabilitatio as wel as arguments argainst the decriminalisatio of drugs. Rock music and effect on the brain.
AIDS - Project LIFE CHILD - Day Care Centers for children orphaned through AIDS.
AIDS Life Skills Programme -
AIDS Home Base Care Programme - Community and home based terminal care courses and establishment of HBC network across the country.
Homosexuality - the arguments against it being hereditary. Negative of the homosexual lifestyle
Euthanasia / Physical Assisted Suicide (PAS) -
Cloning and Stem Cell Research - Promoting sound ethical science in the medical Profession
Alternative Medicine
Medical Ethics
Pornography - DFL was instrumental in getting the Constitutional Court of South Africa to rule that the production and/or possession of child pornography is illegal.
Decriminalisation / Legalisation of Prostitution - a hazardous occupation, harmful to the prostitute and her client as well as their families and society.
Paedophilia - defined as an adult participating in sexual activity with a child, is endemic in South Africa and around the world.
Gambling - Gambling's allure has always been the prospect of fast action and easy money.

Would you like to:
Receive information/updates on the topics ticked above (email only)
Receive our DFL newsletter (email or hard copy)
Receive project updates of DFL (email only)
Receive our Press Releases (email only)

How can we reach you?
By Phone
By E-mail (some information are sent via email only)
If so, do you read your e-mail regularly?
By fax
By ordinary mail (this is necessary for our newsletters)

Please tell us of any additional information, and if possible, how you would be able to assist us. Your involvment can be any thing from prayer to public debates, radio interviews or outreaches to African countries. If you want to be physically involved with our organisation but do not know how, we could contact you for further information.

By submitting my information, I agree to become a member of Doctors For Life International and therefore agree with the principles and goals this organisation stand for. (For more information you can read our mission statement, "about" and "issues" section and the introduction)

"Please also sign a printed copy of this membership form and post it to us."



Helpline + 27 (0) 82 407 3929 - AIDS/Substance Abuse
Helpline + 27 (0) 73 224 9221 - Abortion/Prostitution
Helpline + 27 (0) 72 777 5757 - Abortion (Western Cape)
Infoline + 27 (0) 82 236 7405 - AIDS/HIV


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