2019 NBE Membership Signup Modified - Online payment via PayPal Secure Credit Card

PAY BY BACS/CHEQUE

If joining or renewing membership offline, and making payment by BACS/Cheque, download the appropriate form HERE and submit with payment.

Do not complete this online application if making payment by BACS/Cheque. Use this link to the Membership Application and Renewal Form.

* Membership Type

Member £55.00 for 1 Calendar Year Membership Select this payment option to join or renew annual membership as a regular NBE Member.

Advanced Member £55.00 for 1 Calendar Year Membership To apply for Advanced Membership, contact NBE Admin.
Only select this payment option to RENEW annual membership
as an NBE Advanced Member.

Payment System

PayPal Secure Payment Pay dues via PayPal Secure Payment

* Your E-Mail Address

a confirmation email will be sent to you at this address

* Choose a Password

must be 6 or more characters

* Confirm Your Password

Correspondence Details

This is your "official" NBE membership information and can be changed or updated at any time by logging into your profile and updating the information. This information will be used only for NBE mailings and email communications.

* Correspondence Title

Correspondence Other title

Please identify "other title" in above.

* Surname

Middle Initial

Middle Initial if desired

* Forename

Suffix

Enter name suffix, re: Ph.D., IV, etc.

Name of Organisation

If applicable

Address Information Instructions

This section covers that address that NBE will use for all correspondence with you, including your regular copy of the magazine Column. Please ensure that it is completed correctly, as errors might lead to you not receiving important messages. You can change this at any time by logging into your profile. Your address should be completed in full, with each line in separate fields and without abbreviation (for example, you should enter "Road" and "Street" rather than "Rd" or "St". You can change this at any time by logging into your profile.

* Correspondence Address 1

Correspondence Address 2

Correspondence Address 3

Correspondence Address 4

* Correspondence Town/City

Correspondence County

* Correspondence Country

Two letter abbreviation for country or spell out.

* Correspondence Post Code

* Correspondence Telephone

Enter if this is your primary number for NBE to contact you.

Correspondence Mobile

Enter if this is your primary
or alternate contact number

* Correspondence Email Address

TO BE SURE THAT YOU RECEIVE EMAILS FROM NBE, PLEASE PROVIDE A NON-NHS EMAIL ADDRESS WHERE POSSIBLE.
Can be same as username email or different if employer email address, etc. Will be used as your email address for contact with NBE Admin.

Directory Listing Information

This information will be automatically displayed in the publically viewable NBE Member Directories. If you DO NOT desire to be listed, DO NOT ENTER ANY INFORMATION INTO THE DATA FIELDS. Simply leave all fields blank. Enter only the information to be displayed in the directory.

Directory Organization/Employer

Directory Town/City

Directory District

Directory County

Directory Post Code

Directory Country

Two letter abbreviation please

Directory Telephone

Directory Mobile Phone

Directory Email

Accepts Casework?

FOR REGISTERED MEMBERS ONLY:
indicate if you do or do not accept casework - displayed in the Member Directory

Directory Website

FOR REGISTERED MEMBERS ONLY:
add website link to the Registered Member Directory

Profession

Hold down CTL to select multiple items.

Profession - Other

Please explain profession of "other" in above.

LOCAL AFFILIATION INFORMATION

If you would like to join an affiliated local NBE group in your area to make the most of your membership - please let us know and we will arrange for your Regional Officer to provide you with details of your nearest group/s and their contract details.

* Join Local Group

I agree to be contacted by my Regional Officer.

YES
NO

GDPR INFORMATION

NBE is compliant with current GDPR's and will only use your personal information to administer your members and to provide you with the products and services you have requested from us.
NBE will not pass your information onto third parties.
From time to time we would like to contact you with details of conferences, special offers and promotions as well as requesting information for the benefit of the membership and the organisation. If you consent to us contacting you for this purpose, please indicate by selecting "YES" in the area below, or "NO" if you do not consent.

Please indicate your permission regarding NBE contacting you with conference or information of interest.

* NBE CONTACT

I agree to NBE contacting me with general information regarding conference and other issue likely to be in my interest.

YES
NO

Terms & Conditions

By checking the box below, you are confirming that you are familiar with the Constitution, along with the Policies and Procedures of National Back Exchange.

The documents can be found here

* I have read and agree to the Terms & Conditions

Submit Information

You may now submit your Membership Application/Information and pay dues online via PayPal.