Register an AQMLM account

Please complete the form below.  We will respond with your membership username and password.

Once you are registered, you will then be able to join AQMLM as a full member by paying your subscription fee.

Thank you!

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Please select a title
Name
Work email
Please check this carefully - it will be how we identify you. Ensure that our email address is in your 'white' list.
Personal Email
We may need to use this if your work email blocks emails from our site
Please give a direct line to your desk if possible.
This is optional, but it is very useful if we cannot get through to your work number. We can also use it as an identity check.
Preferred method of contact
Your NHS Trust / Company etc - the legal entity
Please select one option
Your Hospital or Building
enter N/A if not applicable
Enter if non-UK
Your laboratory discipline
Select all that are appropriate
Please supply any information you feel we should know.
Please select one option
Confirm agreement with responsibilities of membership
You must answer 'Yes' for your account to be created