BSA membership	or	Non-resident subscriber
I am a UK resident* aged 16 or over and wish to join the British Stammering Association (Reg Charity No 1089967) (£15 per year; £5 concession for OAPs, the unemployed, students and those receiving income support) *or resident in the Channel Islands or Isle of Man		I am not a UK resident* but wish to become a subscriber to 'Speaking Out' (for four issues a year, at £15 per year, subscribing up to three years in advance).

Please enter your personal details in the boxes below:

Title (Ms, Mrs, Mr, Dr, etc.)
First name
Surname
Address (please include postcode)
E-mail address
Telephone

If you leave this box ticked, gift aid will increase the value to BSA of your subscription and any donation by 28% at current rates. This is at no extra cost to you. Click for more on gift aid.

For donations to be eligible to gift aid, you must pay income tax or capital gains tax in the UK at least equal to the tax that will be reclaimed on your donations and subscriptions.

By post:
I am mailing a £-sterling cheque today to The British Stammering Association, 15 Old Ford Road, London E2 9PJ. (Now just press the 'Submit' button at the end of the form.) OR

By standing order (this keeps our administrative costs down)
I am mailing a completed standing order form today to The British Stammering Association. (Please print off the standing order form, which opens in a new window, to complete and mail off. Then just press the 'Submit' button below at the end of the present form.) OR

By telephone:
I will telephone you today (or the next working day) with my credit card details - 020 8983 1003. (Now just press the 'Submit' button at the end of the form.) OR

By card
I am paying by card using secure online payment.
(If the name on the card if different from that above, enter it below. Then press the 'Submit' button at the end of this form and go to our secure online payment facility with Paypal. No need for a Paypal account.).

Name on card if different from that above:

the above information or