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Application for Membership of ACPEM
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Dr.
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Mr.
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Mrs.
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Ms.
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Miss.
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Membership of other CIGs:
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Membership of other organisations of related interest?
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The Membership Directory includes space for further information about yourself, such as authorship, lecturing, course attendance. With your permission, this information is published in the ACPEM Directory, which is distributed to all members.
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Our current policy is to lodge one copy of the Directory with the Chartered Society, though Gwyn Owen, Professional Advisor, who may wish to contact members with particular expertise to help with inquiries, or ask a member to join a subcommittee concerning issues related to energy medicine
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Please complete this form, print it off and return it with a cheque for £25 made payable to ACPEM.
Return to:
Julie Lygo Bsc(Hons) MCSP,
ACPEM Secretary,
3 Burleigh Road,
West Bridgford,
Nottingham
NG2 6FP
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Sorry, electronic processing is not available.
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