Online Subscription Form

To join AHPB and so receive Self & Society, please complete the following form:

    Is this a NEW membership application, or a RENEWAL?
    New MembershipRenewal

    First name (required):

    Last name (required):

    Your Email (required):

    Telephone number (required):

    Address line 1 (required):

    Address line 2:

    Town/City (required):

    Postcode (required):

    Your area of interest:

    Payment Method: please select one of the following methods to pay:
    PayPalStanding orderChequeBy BACS

    • PayPal: please pay using the following page. Use the email address admin@ahpb.org as payee.

    • By standing order: please complete the Standing Order Form– you can print it out, complete it and send it by post along with your membership form.

    • By cheque, made out to AHP and sent  to The Administrator, BM Box 3582, London WC1N 3XX, with a copy of the membership form.

    • By BACs: please contact our administrator for more details.

    Gift Aid:
    I am a UK taxpayer and I want to Gift Aid my donation and any donations I make in the future or have made in the past 4 years to AHP
    I am not a UK taxpayer
    I do not wish the AHP to claim Gift Aid on my donation

    Student Members only:
    If you are a student, please provide these additional details in order to qualify for the discounted rate:
    College and course:

    Current Year of Course:

    Main Course Contact (with email address):

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