Application for Membership

Download PDF

Form Submission Error!

Please email us: info@healthelife.lk or

Retry

Thank you!

We will be in touch soon.

Resend

Please Wait...

I hereby apply for Membership of the Heal the Life

Rs 1000
Rs 100
Personal Details
Proof of Payment

Banking Details :

Account Name - Heal the life
Bank-Branch - Commercial Bank -Gampaha
Account number - 8440051584
Reference - “membership”