Home Membership Provider Affiliate Registration Provider Affiliate Registration What affiliate type are you registering for? Provider Academic Your details Title First name Last name Job title Organisation Postal address Email address Telephone Total drug/alcohol practitioners working for the organisation (defined as anyone who requires specialist substance use related knowledge/skills to perform their role). Does the organisation operate on a not-for-profit basis? Yes No Terms I agree to AP Membership Terms and Conditions and the conditions set out in the Privacy Policy I confirm that the organisation is committed to the principles set out in the AP’s Standards of Conduct and Ethics Submit Loading