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UK NATIONAL KIDNEY FEDERATION
Friends Membership Application Form

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Please complete the following details on-screen, then print and send by snail mail to the National Kidney Federation, The Point, Coach Road, Shireoaks, Worksop, Notts S81 8BW with your subscription/direct debit (see Guidance Notes on NKF Membership page).

Title:

First Name:

Last Name:

Address:

 
 
 

Postcode:

Telephone:

EMAIL address:


Membership Subscription   (Minimum £20, please click appropriate button)

£20      £30      £40      £50      Other £


Payment Type   (please click appropriate button)

Direct Debit       Gift Aid by Cheque/Postal Order

Cheque/Postal Order 


If you are a patient or carer, do you know the name of your local Kidney Patient Association? If so, please type in their name (eg Bristol Area KPA):   


I wish to become a Friend of the National Kidney Federation.

Signature:

Date:


The National Kidney Federation is registered in England and Wales
as a Company limited by guarantee (Company No 5272349)
and awarded charitable status (Charity Number 1106735).
Give as You Earn contributions No. CAF GY511.
Registered Office:-
The Point
Coach Road
Shireoaks
Worksop
Notts
S81 8BW

Tel:
Fax:
Helpline:
E-mail:
(01909) 544999
(01909) 481723
(0845) 601 02 09

click here to E-mail
   

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Last updated: 14 May 2008

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