Membership Application Form

By completing this application form you can apply to join BAHSHE. You can also register for the website, which will allow you to gain access to the members-only area. When you send us the application form, you will receive a confirmation email which you need to confirm. You will then be able to log in to the website. However, you still need to send us your joining fee to become eligible for the full benefits of BAHSHE membership.

If you are already a member and wish to log in to the website, please email the BAHSHE Office to ask for your user name and password.

BAHSHE Membership Application Form (* Required field)
Title:
Surname:
*
First Name:
*
Website Login Username:
*
Website Login Password:
*
Verify Password:
*
Institution:
*
Address1:
*
Address2:
Address3:
City:
*
County:
Post Code:
*
Phone Number:
Email Address:
*
Position:
Membership Type:
Subscription Type:
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