Become a Member of HPMA on behalf of an Organisation

New Organisational Membership

	Commercial - Band 1 <250 employees - £ 500.00 Commercial membership 2-250 employees
	Commercial - Band 2 >250 employees - £ 1000.00 Commercial membership over 250 employees
	Corporate >150m - £ 450.00 Corporate NHS membership NHS (turnover over £150m)
	Corporate <150m - £ 350.00 Corporate NHS membership NHS (turnover below £150m)
	(Your initial membership fee will be processed once you complete the confirmation step. You will be able to cancel automatic renewals at any time by logging in to your account or contacting us.)

[x] I will send payment by cheque or BACS.

Email Address *

Organization Details

Organisation Name *

Primary Phone

Primary Email

Street Address

Street number, street name, apartment/unit/suite - OR P.O. box

Addt'l Address 1

Supplemental address info, e.g. c/o, department name, building name, etc.

Addt'l Address 2

City

Post Code

-
Enter optional 'add-on' code after the dash ('plus 4' code for U.S. addresses).

Country

State / Province

Please enter a user name to create an account . If you already have an account, please login before completing this form.

Username *

Check Availability
Your preferred username; punctuation is not allowed except for periods, hyphens, and underscores.

Name and Address

First Name *

Last Name *

First and last name will be shared with other visitors to the site.

Street Address (Home)

City (Home)

Postal Code (Home)

Country (Home)

Your state/province and country of residence will be shared with others so folks can find others in their community.

State (Home)

Current Employer

Job Title *

Branch *