Membership - Direct Debit

To join BACME and renew your membership automatically by direct debit, please complete and submit the form. You will then be taken to a secure page to set up your Direct Debit payment.

If you have any questions about BACME membership, please click here to email the Membership Secretary. For administrative or general inquiries, please contact info@bacme.info

Membership Fees

Please renew my membership automatically.

Total Amount

I want to contribute this amount every year

Email Address *

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

Username *

Check Availability
Punctuation is not allowed in a Username with the exception of periods, hyphens and underscores.

Name and Address

First Name *

Last Name *

Street Address *

Street Address 2 *

City *

Postal Code *

County *

Country

Membership Information

Current Role/Job Title *

If other, please specify

Professional Registration Body

Professional Registration Number

CFS/ME Service *

Type of Service

Service Lead?

Yes No

Any Other Comments

I confirm that I support the BACME Constitution (click here to download PDF.)

In providing the above information, I consent to my name and contact details being kept by BACME and used to contact me with BACME mailings and newsletters, and to remind me of membership expiry. I understand that this information will not be shared without my permission and that I can review or withdraw my data at any time.

(Please tick the box below to confirm.)

Declaration

Confirm