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debit. This needs to be set up by visiting https://dashboard.gocardless.com/api/paylinks/0P0H8PC3MM. Please return this
Work address details: (please print details clearly in BLOCK CAPITALS) Job Title:

What

do you get for Membership?

Department: Organisation:

Membership:

Work Address: Post Code:

Country:

Tel:

Ext/Bleep:

of a multi-professional association dedicated to education, research and the advancement of continence care automatic membership of an ACA Branch

Help ACA Attract New Members

Fax:

Access to:

e-mail: (must be provided for ACA website access)

Mailing address (if different from work):

What are your special interests?

branch meetings and educational events the members only areas of the ACA website a members forum which allows members to post items for discussion on the discussion forum details and minutes of branch and national meetings government departments

Bowels

Pelvic Floor Dysfunction

Publications:

Women’s Health

Men’s Health

access to members directory quarterly newsletter ‘Continence Matters’ with branch information clinical practice guidance

Paediatric

Other

Payment Methods: BACS Direct Debit*

Cheque Credit Card

Money Order Online

*If you have selected payment by Direct Debit, have you completed the Go Cardless application form on the website? Yes No

Join the ACA and receive half price membership* Payment of £25 (for full membership) or £20 (for associate membership) is required for first full year of membership, this is payable once the completed application form is received. This offer only applies to members paying by direct debit. This needs to be set up by visiting https://dashboard.gocardless.com/api/paylinks/0P0H8PC3MM. Please return this completed form to ACA Secretariat, c/o Fitwise Management Ltd, Blackburn House, Redhouse Road, Seafield, Bathgate, EH47 7AQ. Cheques should be made payable to “ACA” Membership applications can also be made online: www.aca.uk.com

If you have any questions contact Fitwise: Phone: +44 (0) 1506 811077, Email: [email protected] Please note that as a charitable company limited by guarantee the legal liability of all subscribers is £1.00 GBP Sterling. * this offer applies to full and associate membership categories.

ACA Annual Conference & Exhibition: largest UK conference with continence specific exhibition and scientific programme with reduced costs for members written/oral and poster presentations for a variety of professions

Driving EXCELLENCE in bladder and bowel care Please approach any of your work colleagues who are not already members and ask them if they would like to become members of the Association for Continence Advice. The ACA is the only UK based inter-professional membership organisation in the field of Continence. Membership is open to all health and social care professionals working or who have an interest in the field of continence. Our aim is to provide continence education to health professionals. By joining the ACA you will be able to help us promote excellence in bladder and bowel care. Please use this flyer to outline to your colleagues exactly why they should join this growing association. Benefits of membership include: Provides you with resources, community and support

Branch Information: the ACA has 8 regional branches choose a branch closest to you branches provide local support for members branches provide opportunities for clinical supervision branches are run by an elected committee branch educational events are held regularly for professional education branch meetings held complex case management

Access to the largest UK Conference with a continence specific Exhibition and Scientific Programme Develops and promotes excellence in patient care If you recruit a new member to the association you will both be rewarded. Current members will receive 15 points which can be redeemed against a variety of items and new members will receive half price membership for the first year. Your assistance in recruiting new members is vital in building a stronger and more effective association.

Becoming a member is quick and simple and there are many great benefits to joining this growing association;

Resources Membership provides access to a wide range of resources including regular networking and educational opportunities via our quarterly newsletter, ‘Continence Matters’, website and by attending our annual conference.

Community By joining our association you will be welcomed into an active community which includes; local branches, executive and educational members. You will have the opportunity to be actively involved in continence related research and help provide education and information to others.

Support

ACA Membership Application Details

How

(please print details clearly in BLOCK CAPITALS)

it works...

Title:

First Name:

Last Name:

1 Distribute application forms to your work colleagues. 2 To join ACA they should complete the application

Membership Category: Full Member: £50.00* Open to qualified health or allied care professionals.

form. Please ensure that they enter your name into the “Name of ACA Member who referred you” section of the form. This is required in order to redeem your points.

Associate Member: £40.00* Open to individuals working in continence care and students with no recognised professional health care of allied care qualification.

3 The completed application form should be returned to: ACA, c/o Fitwise Management Ltd, Blackburn House, Redhouse Road, Seafield, Bathgate, West Lothian, EH47 7AQ.

Group Member: £80.00

4 The new ACA member will pay half the cost to become

Retired Member: £22.50

Only available through nominated representative, statutory authorities, nursing homes and voluntary organisations.

Overseas Member:

a member for the first year. Therefore payment for the first year will be: £25 for Full Members and £20 for Associate Members.

5 Once the new member has joined you will receive 15 points (£15) per member you have successfully recruited. You will be contacted to ask how you would like to redeem your points. They can be redeemed against: ACA Membership Amazon Vouchers Donate points towards branch funds

Full: £60.00

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Driving EXCELLENCE in bladder and bowel care

Associate: £50.00

Group: £120.00

* Please note, Full and Associate members within the UK that are paying by direct debit will receive a £5 reductions from the fee stated above.

Professional body registration No: Professional Qualification: Area of Work: Name of ACA Member who referred you (If applicable)

There is no limit to the number of points you can earn. By being part of a growing community you will receive the latest information through our online forums, peer support, social media and by attending our annual conference where you will be updated with new information on best evidence and current practice.

www.aca.uk.com

For further information please contact:

Branches: You must select a branch:

ACA Secretariat, c/o Fitwise Management Ltd, Blackburn House, Redhouse Road, Seafield, Bathgate, West Lothian, EH47 7AQ.

East Anglia

Scotland

London

South West

Email: [email protected] | Telephone: +44 (0)1506 811 077

North West

West Midlands

Website: www.aca.uk.com

Ireland

Yorkshire

@ACA_Continence