Full membership is available to CSP members only.
Associate membership is available to other professionals who are registered with the HPC UK. 
Applications from non-HPC registered professions will be considered on a case by case basis 
– please contact the DUG for further information.

 Please print this form and return it to the address below.

Name:                                     ………………………………………………………………

Profession:                              ………………………………………………………………..

 HPC Registration No:             ………………....

 CSP membership no.             ………………….

 Work address:                        ………………………………………………………………..

                                                ………………………………………………………………..

                                                ………………………………………………………………..

Telephone No:             …………………………………………..

 E-Mail:                          ………………………………………………………………..

 Do you own/have access to a US scanner:                     Yes / No

 Model (if yes):                          ………………………………………………………………..

 Please give a brief résumé of your knowledge and use of dynamic ultrasound. 
This allows us to address members training needs when structuring study days.

…………………………………………………………………

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Please return your completed form together with a cheque for £20 payable to 

The Dynamic Ultrasound Group

to:

Karen Maybury
c/o Sutton Coldfield Health Clinic
5 While Road
Sutton Coldfield
West Midlands
B72 1ND

Any queries please contact Mark Maybury on 0121 378 6010

Thankyou.