Membership Form


€14.00

  • By cheque payable to Coeliac Association – Malta ORB'ċekk lis-Coeliac Association - Malta JEW
  • by sending the equivalent in €0.26 local stamps (no other denomination is accepted) ORpermezz ta' bolli lokali ta' €0.26 (kull tip ta' bolla oħra ma tiġix aċċettata) JEW
  • through a bank transfer or by internet bankingpermezz ta' bank transfer jew internet banking

  • Coeliac Association - Malta
    PO Box 72, Manwel Dimech Street,
    Sliema SLM 1055

  • Bank of Valletta plc
    Coeliac Association - Malta
    4002 3463 833
  • HSBC Bank (Malta) Limited
    Coeliac Association - Malta
    0902 7293 050

Personal DetailsDettalji Personali



Insert parent’s details if coeliac is under 18
Niżżel id-dettalji tal-ġenitur jekk is-coeliac m’għandux 18-il sena
















Medical DetailsDettalji Mediċi












NewslettersDettalji Mediċi