Application form

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Home Address

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Work Address

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Contact preferences

If you have already given us consent to keep in touch about our vital work, thank you. If you have not, we would like to keep in touch with you about health information, the vital work we do, our fundraising and opportunities to help us provide support to others. You can change your mind at any time and change your preferences by emailing hello@heartuk.org.uk or by visiting our privacy policy.

Please tick the boxes below to tell us all the ways you would prefer to hear from us:

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Your privacy is important to us. The data you provide via this consent form will be stored securely and processed in line with our current privacy policy.

Payment

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Legal membership

If you wish to be involved in the governance of the charity, you may become a full legal member.

This will mean you have a vote at the AGM. You will also be a member of the company limited by guarantee, your obligation being limited to £1 in the event of the charity being wound up.

If you are not a Trustee or a Committee member we will charge an administration fee of £5 per year for legal membership.

Do you wish to become a full legal member? *

 

Health care professional membership is just £60 a year for medically qualified doctors and £36 for all other health care professionals.