Update of member's details

PLEASE KEEP YOUR MEMBERSHIP DETAILS UP TO DATE INCLUDING ADDRESS, EMAIL ADDRESS AND LAND LINE AND MOBILE NUMBERS. PLEASE USE THIS UPDATE FACILITY ON THIS WEB SITE IF POSSIBLE AS THIS ENSURES THE DATA IS ACTED UPON AND YOU RECEIVE ALL THE NEWS AND INFORMATION.

Please fill in the details below.

This information is being collected primarily to help the DIDU association send out electronic versions of its magazine - Empower.

All of this information will be kept strictly private, and not revealed to any other person or organisation.

Title: *

Mrs

First name: *

Surname: *

Address line 1: *

Address line 2:

Address line 3:

Address line 4:

Address line 5:

Postcode: *

Phone - land line: *

In order to keep expenditure of funds to a minimum and membership subscription rates low, please supply both land line and mobile numbers. Calling mobile numbers is expensive whilst phoning landlines is free. Your mobile number is required in order to distribute news and urgent information.

Phone - mobile: *

email address:

Forum nickname:

DIDU membership number (if known):

Please indicate if you want to be contacted by email and receive association emails: *

Yes - I am happy to receive emails from the DIDU association

No - I am NOT happy to receive emails from the DIDU association

I am happy to receive information by my mobile phone: *

Yes - I can be contacted by mobile phone

No - do not contact me by mobile phone

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