Membership Form

Your Name:
Your Email Address:
Phone Number:
Address:
Extra Details you wish to add:
Image Verification
Please enter the text from the image
[ Refresh Image ] [ What's This? ]

 

Please Note: Membership of S.I.N. merely denotes your support for our objectives. It does not involve you in any other obligations. You are entitled to attend any meetings, conferences or work-shops if you so wish. There is no membership for the year 2008. We will consult the membership at the end of the year about whether we should have a membership fee next year, and what it should be. You may make a donation at any time you wish. This will go towards the expenses incurred in the research, maintaining the web-site, and in preparing a patient pack which will be distributed to hospitals, doctors’ surgeries and other health care setting.

 

15steps
www.whelanwebdesign.com