One last step - Together for Short Lives

Thank you for signing up to become a member!

To finish applying, please confirm these details and preferences.

Final membership details

"*" indicates required fields

Primary membership contact

Who will be responsible for disseminating membership information and benefits among your staff? They will be our first point of contact for membership issues, and payment and renewals communications.

Name*

First name Surname

Role*

Email*

Address*

Street Address Address Line 2 City/town/village County Postcode Country

Newsletters

Please tell us which of our member newsletters you would like to receive.

Leaders' Briefing*

Yes

The Leaders' Briefing includes updates on our campaigns, opportunities to help shape children’s palliative care policy, upcoming events, and a round-up of parliamentary business. We will also send you ad hoc briefings and alerts on public affairs and policy issues.

Care Exchange*

Yes

Care Exchange is for front-line care staff to hear about upcoming events, job opportunities, new resources, and good practice.

If your colleagues want to receive our member newsletters directly, they can sign up at Add to or update your membership details.

Payment

How would you like to pay?*

Direct debit

Bank transfer (details found at the bottom of your invoice)

Card payment by phone (we will call you)

Cheque (to ‘Together for Short Lives’, with your membership number on the back)

On completion of your membership application, we will issue an invoice.

We take your privacy seriously, and information about how we protect and use your personal data is set out in our privacy notice. You can withdraw or update your communication preferences at any time by calling 0117 989 7820, emailing supportercare@togetherforshortlives.org.uk.

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