Membership form for Aniridia Network UK

To become a member simply fill in this form with the details of all the interested and relevant people in your household (people living at your address). This includes: children with aniridia and their parents/carers and adults with aniridia.
If only you have aniridia you may choose not to include any other residents, but its up to you
Professionals interested in aniridia are very welcome to join too.

Membership is FREE.

Please give an email address for each person who wishes to receive their own copies of our email communications.
All adults (aged 18 or over) listed in the form will be considered our members with the right to vote at our AGM.

If you have relatives living at another address who would also like to join please encourage them to fill in a separate membership form.

All the information we ask for is so we can provide you and others with the most useful services possible. Your details will never be passed on to third parties without your permission. If your contact details or household members change (eg children leaving home) please let us know.

If you are unable to complete this form email us at info@aniridia.org.uk

    Your location

    Where in the UK or Republic of Ireland do you live?
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