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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

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 your payment has not been received within 1 month of the 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)

General Data Protection Regulation (GDPR) 2018

The relevant committee members have access to the information you have given on this form for the purpose of processing your membership and payment. Members who have indicated they wish to receive e-bulletins will also have their emails stored on the MailChimp platform where the e-bulletins are produced by the ACPICR PRO.

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