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Membership / Change of details Form


Association of Chartered Physiotherapists in Cardiac Rehabilitation

Membership application / Change of details form

1st January to 31st December 2018

For CSP members, ACPICR are unable to process your application without a CSP number

Membership entitles you to receive the ACPICR e-newsletter, ACPICR publications, course advertisements and course fee reductions to all ACPICR courses run in conjunction with the BACPR. There are no reductions for joining part way through the year.
Members of the CSP will have voting rights and be eligible for election to the executive committee.

You are welcome to join the ACPICR even if you are not a Physiotherapist however it is a CSP requirement that a minimum of 70% of ACPICR members are CSP members. To achieve this percentage ACPICR reserve the right to decline the membership applications of other professionals if this 70% threshold has not been met.


If payment has not been received within 1 month of form being sent your application will not be processed

You should receive a receipt within 6 weeks, if you have not heard within this time please contact

Standing order:        Date of yearly payment: 1st January

The 'Reference' needs to be your full name when completing a standing order e.g 'John Smith'

Payee details:          Bank: Nat West                    Name of organisation: ACPICR

                              Sort Code: 55-50-21             Account No: 86073583

If you wish to pay by debit/credit card please tick the box below and an invoice will be sent to you by email.  There is a small charge for each transaction so UK membership will cost £20.50 and International membership will cost £25.63.

Please submit this form online (click below)


Information given on this form will be stored on the ACPICR database and contact details will also be sent to the membership secretary. This information may be sold as part of the membership for research purposes (ie for questionnaires/surveys related to cardiac rehabilitation practice). 

Please indicate below if you are willing to be involved in such sales. If not indicated it will be assumed that you are willing.

By submitting this form, you certify that the information provided in this membership application is correct. 


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