Join Now Please complete the Membership Application form below. Application details Title * First Name * Last Name * Job title * Organisation * Health board Home Address 1 * Home Address 2 * City * Postcode * Phone * Email * Membership type * Doctor - £75Allied Health Professional - £40Student - £20Non-Clinical Organisation - £40Retired Doctor - £37.50Retired AHP - £20New BASICS Responder Doctor - £37.50New BASICS Responder AHP - £20 Professional reg body and number (eg. GMC, HPC, NMC etc.) * Terms & Conditions We want you to know exactly how our service works and why we need your contact details. Please state that you have read and agreed to to our Privacy Policy and Terms & Conditions before you continue. * I agree to the Terms & Conditions. Contact Permission We'd love to get in touch with you with regards to updates to your membership, offers exclusive to BASICS Scotland members and any other relevant membership information. Occasionally we may need to send you information or items relating to your membership in the post or contact you by telephone. You can indicate how you would like us to contact you below. Please note that Email is our preferred method of contact and many of our services such as membership newsletters require you to check this box. EmailPhonePost
