Join APEM > Step 1

To become a member, you will need to:

  • Complete and submit the member information below.
  • Set up a standing order for the £20 annual membership fee.  Instructions for this are provided on the next page.

Once the Direct Debit has been setup we will activate your membership and confirm via email. This will give you access to our Members Area.

Title:
* Firstname:
* Lastname:
* Job Title:
* Unit / Centre / Department:
* Hospital:
Qualifications:
Contact Details
* Address 1:
Address 2:
* Town:
* County:
* Post Code:
* Telephone:
Mobile:
Facsimile:
Misc Details
Notes:
CEM member: Yes No
RCPCH member: Yes No
Gift Aid Certificate: Yes No
Mailing list optout: Yes No
Email Alerts
Important Updates:
Information of Public Importance:
Events:
News:
Training:
Bulletins:
Documents:
Image Gallery:
Meetings:
Research Networks:
Video Gallery:
Member Login Details
* Email:
* Password: (minimum of 8 characters)
Confirm Password: