Acupuncture Society CCM Student Membership Application

Acupuncture Society Student Registration Form
Please click the link below if you are on an Acupuncture Society Accredited Course, once approved you will recieve a Student Membership Number and details of how to obtain your Student Insurance Cover.

Theres no membership charge for students and you can become a full practicing members after you qualify

Student Membership Application Form Click Below Link to register:

https://www.acupuncturesociety.org.uk/student-affiliate-membership-application/

No need to complete the below fields, just click on the link above to take you directly to the New Official Student Registation Form then you should click: Student Membership Application Form Button
The below form has been redirected to the above link
Todays date

DayMonthYear
Full Name*

First NameLast Name
Home address with postcode*
Phone Number*
E-mail*
example@example.com
College Name*
Course Name*
Course Tutors Name*
Course Start Date

DayMonthYear
Date
I have read the Societies Code of ethics and agree to adhere to them:*

Yes I have, and agree
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Should be Empty:

Acupuncture Society Student Registration Form