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Signup Form

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Membership Details

Privacy of your personal information

Personal information and contact details are only used for administrative purposes by the ADSHG and are never given to third parties or to other members.

* Membership Type

e-membership online payment - £15 for 12 months Electronic only member no postal communications, online payment (instant signup)
UK postal member - online payment £20.50 for 12 months UK postal communications, paying online (instant signup)
ROI & Europe postal - online payment £27.50 for 12 months Republic of Ireland & EU postal communications, paying online (instant signup)
Worldwide postal - online payment £32.50 for 12 months Worldwide postal communications, paying online (instant signup)

* Payment System

PayPal Visa/Delta/Electron, MasterCard, Maestro, American Express credit card payments
Stripe Credit Card Payments

* First & Last Name

* Your E-Mail Address

a confirmation email will be sent to you at this address

* Confirm Your E-Mail Address

* Choose a Password

must be 6 or more characters

* Confirm Your Password

About choosing a username

A website account will be created to access the forum, to view member-only publications and website articles, such as the quarterly newsletter and as your online shop account.

The username you choose becomes your online forum identity and you may want to use a pseudonym, if you wish to remain anonymous to other members in the forum.

* Choose a Username

it must be 5 or more characters in length
may only contain letters, numbers, and underscores

* New or Renewing member

Are you a new or existing member or updating details?

New member registering
Existing member registering
Member updating details
Registration processed (office use only)

Address Information

* Country

* House / Street

Street (Second Line)

* Town or City

* County or State

* Postcode or ZIP code

Personal Information

* Interest in Addison's

Your relationship to Addison's

Person with Addison's
Parent of a person with Addison's
Partner of person with Addison's
None of the above

Year of birth

of the person with Addison's e.g. 1966

Age at diagnosis

in years e.g. 14

Gender

of the person with Addison's

Male
Female

Email Lists

About our email lists

We encourage you to receive the NewsAlert email which is sent periodically, normally four times a year, announcing our new publications and any important news such as drug shortages.

Subscribe to Email lists

ADSHG NewsAlert

Verification

Anti Spam

Email verification

You will also be sent an email from membership@addisons.org.uk to verify your email address and you will need to click the link provided. Please check you junk or spam folder if it does not arrive in your inbox.