Individual Membership Membership * Individual - £ 12.00 Please renew my membership automatically. Membership will renew automatically. Additional Contribution * £ 5.00 £ 10.00 £ 20.00 No thank you Other Amount Other Amount £ Total Amount Your Details First Name Last Name Email Phone Number Street Address Supplemental Address 1 Supplemental Address 2 City Postcode What is the best way to contact you? PhoneEmailLettersSMS/Text Tell us a little bit about yourself (please choose one) * - select Tell us a little bit about yourself (please choose one) - Self-advocate I have a learning disability My friend has a learning disability Someone in my family has a learning disability I care for someone with a learning disability Review your details