Friend of MACS registration form

Friend of MACS Registration Form
Thank you for your interest in becoming a Friend of MACS (Microphthalmia, Anophthalmia & Coloboma Support). As a Friend of MACS, you will be able to access a range of services which we hope will be helpful to you. Please note that only a 'Full Member' is eligible to vote at our Annual General Meeting.

To sign up, please help us by sharing some information about yourself and your interest in MACS so that we are able to send you the most relevant information for your needs.

MACS uses the information you submit to provide services in line with the MACS constitution. Your data is confidential and will not be sold or misused. Where it needs to be shared with a 3rd party organisation that provide services that you specifically sign up for, we will ask for your consent first. Please see our privacy policy for details of how MACS uses personal information.

Under normal circumstances, if you are an overseas member our communications will primarily be by email to minimise costs.

If you would like help completing the form or would like the data in another format please call Sharon on 07395 280764 or email on sharon@macs.org.uk and we will endeavour to help in the way that suits your needs best.
Your Details
Please use a unique email that is not shared with another MACS contact so that we can correctly identify you.
Name*

First NameLast Name
Email*
example@example.com
Mobile
Please enter a valid mobile number.
Home Phone
Please enter a valid landline number.
Preferred phone*

MobileHome
Address*

Street Address

Street Address Line 2

Postal Town or CityCounty

Post CodeCountry
Communications Preferences
Focus Magazine*

EmailPrintBrailleNone
Personal Communications*

EmailPrintBrailleNone
e-Newsletter and Bulletins*

EmailPrintBrailleNone
Events and Services*

EmailPrintBrailleNone
Please indicate if you would are willing to be involved in any of the following.

Fundraise for MACSVolunteer for MACSProvide photos, a quote or a case study for our website or social media
Additional Members - Would you like to add any other additional members to your membership? Please ensure you have their permission and add their details below.
Connection - Please tell us what your interest in MACS is, why you would like to become a 'Friend of MACS' and how you heard of us and if you are connected to another member. This information will help us in the future.
Applicant Agreement*

I understand that by ticking this box I am applying for MACS membership, and as a member I agree to take my rights and responsibilities seriously.
Privacy Policy*

I understand that by ticking this box I have read and agree to MACS Privacy Policy.
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Friend of MACS Registration Form

Your Details

Communications Preferences

Thank you for completing this form. We will be in touch shortly.