British Society of Echocardiography
British Society of Echocardiography
BSE Membership Form

Please use this form if you wish to join the British Society of Echocardiography. The annual subscription is £60 payable through the WorldPay secure credit card gateway.

* Required Information
Your Details
* Title
* Family Name
* Forenames
* Address
* Post Code
* Country
* Email
* Address for Members’
Handbook:
Mailing Address above
Institution Address below
Institution where you are employed
  Institution Name
  Department
  Address
  Post Code
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  Phone
  Fax
Please complete ONE shaded area only
 
I work in
NHS (Public) Hospital Private Medical Practice
Private Hospital/Clinic Veterinary Practice
 
I am a
 (other)
I Mainly
 
I work in
Clinical/Veterinary/Pharmaceutical Research
Scientific or Technical Research
Education
 
I work for a
Commercial Enterprise connected with echocardiography
  My work is mainly concerned with
 
Terms and Conditions

I have read and understood the terms and conditions, including refund policy, posted on our website www.bsecho.org *

Please note that the BSE operates a membership year which runs from 1st April to 31st March. Any person who applies and pays for membership on or before 31st December will have their payment set against the current membership year. Any person who applies and pays for membership on or after 1st January will have their payment set against the next subscription year.
British Society of Echocardiography