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

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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 £50.00 for 1 Calendar Year Membership Select this payment option to join or renew annual membership as a regular NBE Member.

Advanced Member £100.00 for 1 Calendar Year Membership Select this payment option to join or 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.

ATTENTION REGISTERED MEMBERS! To have your listing appear in the Find a Registered Member Directory, you MUST enter your full address.

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

Membership Monitoring Information

The following information is optional and is used for NBE information tracking only. This information is for internal use and will not be shared.

Who pays for membership?

Other membership payment

Please explain of membership
payment is by "other" in above.

Employment Details - Position Held

Please indicate position held at current employment. Hold down CTL to select multiple items.

Employment Details - Other

Please explain employment details if "other" in above.

Profession

Hold down CTL to select multiple items.

Profession - Other

Please explain profession of "other" in above.

Type of Organisation

Please indicate the type of organisation. Hold down CTL to select multiple items.

Organization - Other

Please explain organization of "other" in above.

Local Group Membership

Local Group Membership Information

Local Group Membership

If you are a member of a local group or special interest group, please state which one(s) here.

If you would like to join a Local or Special Interest Group, contact details are listed on the NBE website HERE, and in the Column, NBE's professional journal.

Equity Monitoring (optional)

The following information is requested but optional on your part.

Gender

Date of Birth

Day-Month-Year in this format:
## November ####

Ethnic Origin

Member Agreement

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.