Register as a member

To register as a member of the IMPT please complete the online form and send to our Registrar.
A paper form will be sent to you for submission.

* Type of membership (Please check appropriate)

Student Member (SIMPT)

Associate Member (AIMPT)

Associate member Overseas (AIMPT)

Full Membership (MIMPT)
* First Name
* Surname
* DOB  DD/MM/YYYY
* Professional Address Line 1
* Professional Address Line 2
* Professional Address Line 3
* Postcode
Telephone number
Mobile number
Email
Choose a password
Password again (to confirm)