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Website registration form

To book events and perform other actions on the RCOG website, you need to be registered with us. Please complete the registration form below. Upon successful registration, you'll be automatically redirected to the 'My account' area of the website.

Email:*

Confirm Email:*

Email Type:

Password:* Your password must be between 7 and 12 characters long, and must contain at least one number and one capital letter

Confirm password:*

Your details

Title:

First name:*

Last name:*

Telephone (including STD code): Ext:

Your address details

Address type:

Department: If you are using a department we will assume this is your work address, otherwise we will set it as your home address.

Address line 1:*

Address line 2:

Address line 3:

Town/city:*

County:

Postcode:*

Country:*

Are you a medical student or healthcare professional?*

Yes

Are you based in the British Isles?*

Yes

Registered charity no. 213280

27 Sussex Place
Regent's Park
London NW1 4RG
UK

Tel +44 20 7772 6200
Fax +44 20 7723 0575