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.
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  • Confirmation of fees/categories can be found here: http://ukclinicalpharmacy.org/join/how-to-join/
    A Direct Debit Mandate can also be downloaded from the above page.

  • Please note, invoices will only be sent to Trusts/Employers. The UKCPA no longer issues invoices to individuals
  • 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.