Membership application form

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Thank you for your interest in membership of the Neurological Alliance.

If you are applying to become a new member of the Alliance, the Trustee Board will review your application at the next available Board meeting.

For those renewing with us, your response will be used to update our records.

The form should take no more than 10 minutes to complete. We will ask for information related to your last reported income, prevalence and incidence of your condition(s) of interest and email contacts for your organisation. Please have these to hand when filling this out.

Please email Caroline Davies, Administration and Membership Officer (caroline.davies@neural.org.uk) if you have any questions.

Email *

Are you:

Joining the Alliance for the first time

Renewing your membership with us

Other:

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Section 1: Membership eligibility criteria

We are a non-statutory, non-profit organisation with unpaid trustees which exists to serve people with neurological conditions or which provides for them.

Yes

Required

Please confirm the following: *

Our work covers health and social care issues in England

Our aims, objectives and methods of governance are in a publically available document

We are properly constituted having been formed and organised in a correct and legal way.

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