Please fill out the form below, print it, and post to the address above with a cheque for £15.00 UK Sterling made payable to National Candida Society. We will accept payment in other currencies but this has to include the conversion charge that UK banks levy. Joining fee including conversion charge is:

USA: $40.00;    Europe: €30.00;    Australia: $50.00
Other currencies: email info@candida-society.org for current prices.

Surname:

    

Forename:

Title:

Address:
 
 
 

Postcode:

Country:

Phone 1:

    

Phone 2:

    

Email:

 

Delivery:

The introductory pack is sent by post (UK only). You will receive an email notification when subsequent newsletters are posted on the Members Area of our website. If you would prefer to receive the newsletter via post (UK only) please tick the box.

Privacy:

We treat your contact details confidentially and NEVER give them out EXCEPT to your support group leader and on request to other members. If you do NOT want your details passed to other people within our Society please tick the box.

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