Application Form

* Membership Type

Full Member £70.00 per annum (or £17.50 per quarter by direct debit) Individuals employed in health or social care with a demonstrable interest in the field of infection prevention and control.
Associate Member £70.00 per annum (or £17.50 per quarter by direct debit) Any health care worker who is not eligible for full membership.
Pre-registration Student Member £20.00 per annum Students training to become Registered Practitioners.
Retired Member £20.00 per annum Those who are not eligible for full or associate membership as they have retired from employment.

* Payment System

Pay online by credit card/debit card Accepted cards: Visa/Mastercard/Maestro processed by WorldPay Direct Debit payment Pay by quarterly or yearly direct debits.

* Direct debit payment frequency:

Title

Mr, Mrs, Miss, Dr, etc

* First & Last Name

Position

* Choose a Password

must be 4 or more characters

* Confirm Your Password

* Your E-Mail Address

a confirmation email will be sent to you at this address

Department

Hospital/Company

Address Information

* Work Address 1

Work Address 2

* Work City

* Work County / State / Region

* Work Postcode

* Work Country

Phone Number

Mailing Department

Mailing Hospital/Company

* Mail Address 1

Mail Address 2

* Mailing County/State

* Mailing City

* Mailing Postcode

* Mailing Country

Mailing Zone

Mobile Number

Home Telephone

* Branch

Branch area you wish to join

Area Of Work

Specific Areas of Expertise

Press Ctrl and select to choose more than one area of expertise

Special Interest Groups (SIGs)

Please select SIGs you would like to be part of (press Ctrl and select to choose more than one SIG)

Company Mail

Receive emails about selected companies

Yes

Exclude from Directory

if this box is checked, you will not be displayed in public members directory

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Additional Information

Terms & Returns

Please select ...
Ambulance
Antimicrobial Prescribing
Antimicrobial Resistance
Auditing
Behaviour Change
Care homes
C.difficile
Commissioning
CPE
Critical care
Decontamination
Dental
Ebola/VHF
Environment
Epidemiology
Expertise to respond to media enquiries
Hand Hygiene Improvement
Haematology
Human Factors
Influenza
Mental Health
MRSA
Oncology
Operating Theatres
Outbreak management
Paediatrics
Patient Safety
Policy Writing
Product Specialisation/Marketing
Public speaking
Patient and Public Involvement
Quality Improvement
Research
Reviewer of journal articles
Sepsis
Sharps Safety
Social Media
Surgical Site Infections
Surveillance
TB
Training and Education/Teaching Skills
Urinary catheters
Vascular Access Devices
Writing for Publication