Registration

Please complete the following registration form. Once submitted a member of the team will confirm final details in due course. You will then receive an invoice and our welcome pack. Your organisation will become a formal member of Medilink North West once we receive your initial fee payment and the full benefits of membership will then be available to you.

Your Details

Company / Organisation Name *

Address *

Postcode *

Number of full time employees

Contact Name *

Position *

Telephone *

Mobile

Fax

Email *

Website

Please select a username (normally your first name or initial and surname) and password.

Username *

Password *

You will be notified when your username and password has been activated.

Type of Membership required:

Corporate (see table of rates)

Associate (£175.00)

Individual (£70.00)

As a member of Medilink North West you will have the opportunity to become a member of the Health Technologies Knowledge Transfer Network (KTN), free of charge. Please tick the box if you DO NOT wish to become a member of the KTN.

As part of the Corporate and Associate Membership service, you will automatically be entitled to a company profile entry onto the website, relating to your company products and / or services (Corporate – maximum of 50 words, Associate – maximum of 25 words). To take advantage of this service please forward your text entry to Kirsten.smith@medilinknw.co.uk within one month of registration.

Membership & Member Network

E-Med Alerts

Registration