Sign Up

Payment Details

Full membership of the CPRO costs just £40 per year and this can be paid in one of three ways:

Standing Order - Please download and complete the Standing Order Mandate and return it to your bank

BACS Payment - Please arrange a payment with a reference in the format CPRO-surname-Year of Birth (i.e CPRO-SMITH-1956), our bank details are as follows:

   Bank Name       Unity Trust Bank
   Sort Code        08-60-01
   Account No       20141648
   Account Name CPRO

Cheque Payment - Please send a cheque made payable to CPRO to:

   CPRO
   1 Rempstone Barns
   Rempstone
   Corfe Castle
   Wareham
   Dorset
   BH20 5JH

Application Form

Please complete and submit the form below, we will process your application as quickly as possible once we receive it.

Personal Details

	First name(s)
	Surname

	Choose your password	Please confirm:

	Email address	Please confirm:

	Date of Birth
	Telephone (Mobile)
	Telephone (Direct Line)
	Telephone (Work)
	Bleeper
	Pager
	Fax

Employer Details

	Name of Employer/Organisation
	Job Title
	Grade
	Is Resuscitation main area of employment	Yes No
	Address 1
	Address 2
	Address 3
	County
	Post Code

Other Info

	Professional Background
	Registration Number

Membership Criteria

	I understand that my membership of CPRO is conditional
	on the maintenance of a current professional registration

	Please tick to accept this condition

Payment Options

	Please indicate how you will pay for your membership	Standing Order BACS Payment Cheque to CPRO

Data Protection Information

	Would you like to be reminded to renew your membership 60 days before it is due to expire	Yes No

	I agree that my contact details may be used by CPRO for communication purposes	Yes No

	I agree that my contact details may be passed to a third party with prime concern of providing information that would benefit my area of specialist work	Yes No

Section

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Join the CPRO

Payment Details

Application Form