WMA Gold Card Application

Please complete the following information. These will be used to apply for Elite member which available exclusively for WMA Gold Card

Personal information

Your Address

Please provide either a home country address or a Thailand address. Please write complete address include, district, city, province, etc.

Your Visa

Most hassle free to affix Elite visa is to affix upon arrival at Suvarnabhumi,
Chiang Mai or Phuket airport, takes you less than 10 mins.

Other Information

Oversea wiring of fund will take 2 days or more days to reach us.
I here by giving consent for a clearance check should I have uploaded my copy of passport.
You will expect to receive a letter of approval with payment detail of membership fee in due time.

WMA Gold Card Application

World Medical Alliance (Thailand) Co., Ltd.

2922/213 Chan Issara Tower 2 Khwaeng Bang Kapi,
Khet Huai Khwang, Krung Thep Maha Nakhon 10310
Email : info@worldmedicalalliance.com

Copyright © 2021 World Medical Alliance Co., Ltd.