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Become a member
Members of the LINk will receive regular newsletters and information regarding Health and Adult Social Care. Members can choose the level of their involvement see below.

Your details are recorded for monitoring and reporting purposes but will not be shared with any third parties.

Online Registration


First Name: *
Last Name: *
House Number: *
Street: *
City: *
County:
Post Code: *
Country:
Telephone: *
Mobile:
Email: *
Demographics
Age Group:
Ethnicity:
Sexual Orientation:
Marital Status:
Involvement Level
Interested In
Interested in Health Care:
Interested in Adult Social Care:
Preferred method of receiving information:
* required Submit   Cancel      

Printable Form


Please complete the membership form below and return by email to nuray.ercan@shaw-trust.org.uk
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online membership form70.00 KBDownload
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