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Click here to request a BPA Members' Area login & password Many of the documents on the BPA website are in Adobe portable document format (.pdf). Click here to download and install the Adobe (.pdf) reader Help

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To champion the role and contribution of Pharmacists,

providing leadership, support and care for our members


Application form or fill in the online application form below by clicking and typing in each field in turn and then clicking SUBMIT
Please complete the section below to allow payroll to deduct your subscription directly from your salary. (If you prefer to pay by cheque, please contact Rhona Bennett (see above) and she will arrange this with you)

Address

(If you are on relief, Please  write “Relief Pharmacist” )

Postcode

Home Phone Number

Title

First Name(s)

Surname

Store Name, Number & Tel. No.

Mobile Number

E-mail Address

Boots contact address

RPS reg no no

Boots staff no or pension no ref

Name

Boots Staff no

Date (ddmmyy)

GPhC reg no

Select Role

If you have been referred to BPA by an existing member, please

enter their details in the three boxes immediately below:

Staff No

First Name

BPA has plans to offer new services and products to its members but will not share your information with third parties. 

Ticking this box  will exclude you from receiving details of new products and services from BPA by email or direct mail.


Please email your completed & scanned application form to- r.bennett@bpa.website or post the paper form to- BPA Rhona Bennett 69 Sheriffs Park Linlithgow West Lothian EH49 7SR  Telephone 07720/699877 Fill it in bpa1 - Initial BPA membership application form