Stripe Membership Payment Screen

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Forename*
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Practice Address*
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The password must have a minimum strength of MediumStrength indicator
Repeat Password*
Choose a subscription
PMPSA Membership Pay Yearly - £150 / 1 Year with a 1 year free trial
You will not be charged for your first 12 months membership.
PMPSA Membership Pay Monthly - £15 / 1 Month with a 1 year free trial
You will not be charged for your first 12 months membership.
You will be able to complete the payment after you have confirmed your e-mail address.
I allow this website to collect and store the data I submit through this form and for PMPSA to contact me using these details*

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