PESGB Membership

Member Details

Please complete the details below. A separate billing address can be provided, if necessary, later in the application/renewal process.

GDPR To comply with the new General Data Protection Regulation (GDPR) we will be asking for your consent to use and share your data with our membership suppliers. If you would like to view our privacy notice you can download this here. Your assistance with this is greatly appreciated.

Voting Ballot for Executive Committee Please choose ONLY one candidate from the two options below:

Qasir Shah

Sharon Smith

Prefix (Mr, Mrs, Dr etc)

First Name

Last Name

Email Address

Additional email address

Organisation (if applicable)

Please note that if you wish your PESGB journal to be posted to your organisation's address you need to include the organisation name in the Address details below as the organisation name field will not automatically be included.

Phone Number

Mobile Phone

Please provide the full address below for where you would like your PESGB journal to be sent to:

Address Line 1

Address Line 2

Address Line 3

City

US State

County

Post Code

Country

Communication on PESGB Information: I am happy to receive communications from PESGB such as information about PESGB events and general PESGB notices:

By Email

By Post

I do not want to receive PESGB Information

PESGB Journal: Please indicate if you would like to receive the PESGB journal by post (this is included in the membership fee):

[Clear Selection]

Yes, I would like to receive the journal and I am happy for my contact details to be passed to the publisher Wiley Blackwell for distribution of the journal. Yes, I would like to receive the journal and I am happy for my contact details to be passed to the publisher Wiley Blackwell for distribution of the journal.
No I do not wish to receive the journal. No I do not wish to receive the journal.

ID Code

discountcode
(If you have been given a special identifier please enter it here)

PESGB c/o SAS Event Management, The Old George Brewery, Rollestone Street, Salisbury, SP1 1DX Tel: +44 (0)1722 339811