New Membership Application Form

We take the protection of the data we hold about you as a local branch member/attendee seriously. We will do everything possible to ensure that data is collected, stored, processed, maintained and retained following current and future UK data protection legislation. Please read the full privacy notice on the Parkinson’s UK website at to see how we will treat the personal information that you provide us. Thank you for supporting Parkinson’s UK and your local branch. Please complete and return this form by post to our Membership Secretary: Mr Keith Black, 32 Oakland Avenue, Farnham, GU9 9DX.

Join Guildford Parkinson’s Branch

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    <p>Please enter an email address to which we can send material
            Knowing you helps us to offer more targetted support </p>
1st Line of address e.g. 8 Primrose Gardens
2nd Line of address e.g. Merrow
Post Town e.g. GUILDFORD
Postcode e.g. GU4 7BQ
Contact number e.g 01483 123456 or 07123 456789
I’d like to be involved with…..
  We can use photos of you in our literature.
 Can we share membership data with PD-UK
 I’d like to receive information about making a donation
Comms Preference

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