Privacy

ESCP takes your privacy seriously. Read our Privacy Policy.

How your information will be used

The information you provide on this form will be used for administrative purposes; to keep you informed about ESCP news and events; and to allow other members to contact you. We may also pass your information on to ESCP advisers and service providers. It may be passed on to entities outside the European Economic Area.

Read our full Data protection notification

Sharing your information with other members

Some information that you provide on this form will be used to create a profile for use in the member area. If you do not wish to share items such as your mobile, contact phone or skype address then please leave these fields blank.

Member Network Rules

ESCP’s online member network is not moderated, so we rely on you to use it responsibly. Please read our Member Network Rules

Personal details

Title *

First name *

Last name *

Gender * Male
Female

Clinical Specialty *

Clinical Interests

Screen Name *

(What is this?)

Email *

Confirm email *

Password *

(must be 6 characters or more)

Confirm password *

Mobile phone

Phone Number

Skype Username

How did you hear about us? *

Subscribe to ESCP newsletter
Yes, I would like to autorenew my annual membership

About Me

National Society

Membership number

Qualifications

University / college

Expert? (What is an expert?)

Institution

Show Institution on profile?

Appointment Type

Department

Job Title

Show Job Title on profile?

Postal address

Address *

City *

State

Postcode *

Country *

Work address

Same as postal address

Address

City

State

Postcode

Country

Membership Book Details

Please update/remove any information from the fields below that will appear in the ESCP membership book

Copy postal address
Copy work address

Address

City

State

Postcode

Country

Copy from personal details

Phone

Mobile

Institution Name

Include profile photo in book?

Credit Card and Membership Details

Please choose from the list below the category of membership that you wish to apply for. Please note that we may require you to provide evidence of your eligibility for the category of membership that you apply for. We may ask you to provide such evidence either before or after your membership has been approved.

Membership

(Am I eligible?)

Card type

Card Number*

Expires

Name on Card*

CVN *

For your own benefit and protection, it is important that you read and understand the following before proceeding. If there is anything that you do not understand then please ask ESCP for further information. By Clicking REGISTER NOW you confirm the following;

I confirm that I am eligible to sign up for the category of membership that I have selected and undertake, should I not for any reason be eligible or at any time cease to be eligible for the type of membership selected, to automatically make ESCP aware of this and to pay any additional subscription fees that may be due as a result.
I confirm that I will not use the ESCP member network for any commercial purposes.
I confirm that I shall treat as confidential all information from the member network and that I shall not make the same available to any third party for commercial use.
I confirm that I understand that should I be deemed to be in breach of any of the above points that ESCP shall be entitled (acting in its sole discretion) to terminate my membership with immediate effect and that ESCP shall be under no obligation to return any subscription fees that I may have paid to me. ESCP reserves all rights and remedies that it may have.
I agree to be bound by the website terms and conditions of use and privacy policy.

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Membership Application

Privacy

How your information will be used

Sharing your information with other members

Member Network Rules

Personal details

Photo of you for your profile

Professional details

Postal address

Work address

Membership Book Details

Credit Card and Membership Details

Site Map

Contact

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