Associated Pharmacist/Pharmacy Technician subscription renewal form

About you

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Email Address*

We will use this email address to send you a copy of your subscription

Subscription Number*

GPHC / PSNI Number*

NB: This package is for Pharmacists registered with the GPhC/PSNI (..Pharmacy Technicians registered with the GPhC)

Subscription Fee (Including VAT @ 20%)*

I do NOT have an existing professional indemnity insurance policy with the NPA Insurance
I have an existing professional indemnity insurance policy with the NPA Insurance

Please provide your policy number

Total

£ 0.00

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Billing address 2

Billing City*

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Read our full Terms and Conditions here.

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