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Membership Application Form

Members List

Membership Application Form

All nurses, scientists and medical practitioners in the United Kingdom who are involved in the healthcare of patients with primary immune deficiencies or research into these diseases are eligible to be members of UKPIN.

If you wish to join please read the UKPIN constitution, available here, and email the following details to Olga Bryce:

[forename]
[surname]
[title]
[department]
[institution]
[address lineone]
[address linetwo]
[city]
[postcode]

[telephone]
[fax]
[email]

Do you agree for your name to appear on the UKPIN website [y/n]?

Do you agree for your address to appear on the UKPIN website [y/n]?

Do you agree for your telephone number to appear on the UKPIN website [y/n]?

Do you agree for your fax number to appear on the UKPIN website [y/n]?

Do you agree for your email to appear on the UKPIN website [y/n]?

Where consent is given, individuals details are displayed in the members section of the UKPIN website. UKPIN will not pass your details on, either actively or on request, to any third party at any time.