Basingstoke Team Parish

Membership

If you would like to become a member, please complete the form below. 

Details protected under the Data Protection Act 2018
We will not give your personal information to third parties without your express consent. You can read our privacy policy here

Donate to PoTSBenefits of becoming a member are:

  • Receive a newsletter 2-4 times a year
  • Keep you informed about the latest research and journal publications
  • Ask you if you want to participate in relevant research projects

Membership is FREE to anyone who supports PoTS UK. Please consider making a donation using the purple button on the right.

Membership form

Please note fields marked with * are required.

Please provide as much information as possible, as this helps us to help you.

Your details
First Name*
Last Name*
Email Address*
Town or City*
County*
Country*
Your age range?
Under 20
20-29
30-39
40-49
50+
Prefer not to say
If you are under 16 years old, please ask your parent or guardian to tick the box below to show that they consent to you becoming a member.
I consent for my under 16 year-old to become a member

Choose your involvement with PoTS
Are you a*
Patient
Carer
Other
If you selected "other" above, please state your involvement with PoTS below:
My involvement with PoTS
Complete security*
If you would like to unsubscribe from our newsletter and updates and have all data that we hold about you removed, please email info@potsuk.org