Please complete the form below for membership to The Children’s Mitochondrial Disease Network. Forward your membership money by post to the address given below. Membership Form Registered Charity No. 1070533
Part A & D To be completed by all
Part. D. Membership Fees & Date Protection: All information is treated with total confidentiality, only information you wished to be passed on to other members of The Children’s Mitochondrial Disease Network, will be forwarded.
Membership of "EMDN" is Free for Parents, Carers & Professionals but the membership form must be completed & either submitted by e mail or sent by post.
Please make all cheques & monies payable to “EMDN” in £’s Sterling.
30 Heber Walk
Loyds TSB Northwich
Acc Name: "CMDN"
Acc No: 35157268
Sort Code: 77 46 09