MEMBERSHIP FORM FOR THOSE IN LOCUM AGENCIES

If you are renewing - please only complete name, contact address, any other relevant changes, and quote your current
membership number.

Please print off this form, complete, and enclose a cheque for £25 for annual associate membership. Membership is from
1 April to 31 March each year.

The aim of this form is to gain a profile of membership. Confidentiality of member information will be preserved to meet
the requirements of the Data Protection Act. The tick / cross in the box below means that your name and address may
be sold to mailing companies to bring your attention to products and services which may be of interest to you
(e.g., publishers, agencies, Trusts for job advertisements). If you do not wish to be contacted in this way, please leave
the box blank.

Membership form (if employed by a locum agency)
>> Download PDF here

Please make cheque payable to "National Association of Medical Personnel Specialists". For administrative reasons,
we regret we are unable to invoice trusts for membership.

Please return the completed application and payment to: NAMPS, Firefly Events Ltd, Enterprise House, 5 Roundwood Lane,Harpenden, Herts, AL5 3BW

Membership Enquiries

Namps@fireflyevents.org.uk