Individual Membership Application/Renewal

Welcome to the NIVAS online membership facility. Individual membership costs 30.00 (or 25.00 when paying by direct debit) and is valid for 12 months from the date of joining.

SPECIAL OFFER FOR 2017

If you set up a direct debit to pay for your membership, we are offering a reduced membership fee of 25.00.
You can download a direct debit instruction form on the payments page which should be completed and returned to Succinct Medical Communications. Once set up this direct debit instruction will remain in place unless advised otherwise. Annually, at renewal time, we will send you a reminder of the membership fee and the date of which this amount will be taken from your bank account.

You may also pay for your membership using Visa, MasterCard, cheque or BACS transfer. Membership is priced at 30.00 for payment via these methods - please follow the guidelines when you reach the 'payment' page of this online site.

Personal Information  
Initial of first name
First name
Last name
Job title
Place of work
Contact number
E-mail
Residential address
Address
Address
Town/City
County
Postcode
Country
= required field

 
    
Individual Member 25.00 (when paying by direct debit only. Please print off, complete and return your form)  
Individual Member 30.00 (when paying by Visa, MasterCard, cheque or BACS)  

If you encounter any problems with this site, please contact Succinct Medical Communications on +44 (0)1628 897 926.