Become a member

Become a member

Your Details

A description of this field will appear here.
A description of this field will appear here. A description of this field will appear here. A description of this field will appear here.
A description of this field will appear here.
A description of this field will appear here.
A description of this field will appear here.
A description of this field will appear here.
A description of this field will appear here.
A description of this field will appear here.
CCT Date
A description of this field will appear here.

Your Contact Details

Please supply an email address in the correct format
Please supply at least the town of the main workplace
Please supply at least the postcode of the main workplace
Please provide an email address here only if your membership fees are being paid by credit/debit card by a third party.

Group details

A description of this field will appear here.
A description of this field will appear here.
A description of this field will appear here.
A description of this field will appear here.
A description of this field will appear here.
Select membership type
New membership
Renewing member

Information

If you have not identified a suitable group using our Find a Group function please indicate which geographical area you would prefer the group you are joining to be located (please be as specific as possible e.g. Glasgow West End). This will help the PBSGL team to narrow down our search for a suitable group for you.

NES Portal account:

I confirm that I agree for the details contained in this form to be used to set up a NES Portal account on my behalf, and I acknowledge that my NES Portal and CPD Connect accounts will be linked, in order that I can pay for my membership fees through the CPD Connect website.


Our Privacy Notice gives information about how we collect, use, and store your personal data


Please select to confirm your consent:
Yes
No
Pharmacists please read this information about your sponsorship requirements before submitting the form

* PLEASE NOTE: once our team have set up your Portal account you will receive an automated email from the system asking you to verify your account. Please click the verification link contained in this email as soon as possible to allow us to then link your accounts to avoid delay of your PBSGL membership.