UKCPA Membership Application Form
Membership runs for 12 months from date of application
  • This email address will be used to register you on the UKCPA website. If it is a personal web based email address such as gmail, hotmail or yahoo, please check your junk mail for UKCPA communications.
  • We will contact you using this email address to verify your identity if your primary email address is a personal account.

    If you include a personal email address here, we regret that your application will not be accepted.
  • We require your registration number to confirm you are a healthcare professional.
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  • Confirmation of fees/categories can be found here: http://ukclinicalpharmacy.org/join/how-to-join/

    From 31 March 2020 we no longer issue invoices for individual membership subscriptions. Purchase orders received or dated after this date will not be accepted.

    The UKCPA is no longer able to accept postal orders or cheques.

  • You must opt in to receive any postal or electronic mailings from UKCPA. This includes UKCPA news, event information and other relevant information that we may need to send to you from time to time. It also includes access/subscription to the online group forums.
  • To select more than one option, please hold down Ctrl when clicking your selection
  • To select more than one option, please hold down Ctrl when clicking your selection
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  • By ticking this box and submitting this form you are applying to be a member of the UKCPA. Any incomplete fields above will need to be rectified before your application can be processed. The UKCPA will hold the data submitted on this form for your membership purposes only.