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Registration
Click here to view the BHIVA Membership rates and benefits.

If you are already a BHIVA member, please go to 'My Account' to renew your membership.

Personal Details: Work Contact Details:
Title [*] Department
First Name(s) [*] Ward
Family Name [*] Address Line 1 [*]
Organisation Name [*] Address Line
Position [*] Address Line 3
Relevant HIV Experience [*] City [*]
County
Postcode [*]
Country
Telephone [*]
Fax
Bleeper
Work Email [*]
BHIVA distributes some information to members by email only, including details on guidelines consultations and updates, so in order to receive all BHIVA mailings, please supply an email address. We will not use your email address for any other purpose.

Data Protection: Mediscript Ltd complies with the 1998 Data Protection Act. Information provided by you on this form will be processed by Mediscript Ltd and used for the purposes of: (i) providing the goods and services ordered by you, and for billing and accounts; (ii) allowing third-party mailings from organisations where we believe their services may be of interest to you. If you do not wish your information to be used in this way, please click here to inform us.