How to join

Lifetime membership of British Polio Fellowship costs £25.

Please complete your details on the form below, you will then be transferred to our secure online payment system to complete your application.

If you wish to pay via an alternative method please contact us on 0800 018 0586.

I would like to have further information on joining a branch or group Yes

• Title*

• First Name*

• Surname*

• Email address*

• Telephone number*

• Address*

  
  
  

• Postcode*

• Date of Birth* (DD/MM/YYYY)

• Have you had Polio?

  Yes No

• If yes, please state year:

• Where did you hear about The British Polio Fellowship?

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