
Print out and fill in the form below or call the Membership Hotline
Yes! I want to join Carers UK
Name………………………………………………………………...… Address…………………………………………………………...….… ………………………………………………………………………………
I am
a carer ........
I
am a young carer (under 18) .......
Date of Birth ........
I enclose
an annual subscription of £10
(If you are a young carer you can join free of charge)
I would like to make a donation of Total £…………
I enclose my cheque/postal order (payable to Carers Uk)
By credit card: I wish to pay by Visa/Access/Delta (Please delete as appropriate)
Card number .. .. .. .. / .. .. .. .. / .. .. .. .. / .. .. .. ..
Expiry date .. .. .. ..
Cardholder's signature ……………………………
Send
the completed form to
Carers UK, 20 Great Dover Street, London SE1 4LX
Membership Hotline 02075667602