Join Application

Please complete the form below to send us your join request.

We are currently updating our membership packs for all new members which will be full of informative information for you to keep. To cover the costs incurred of resources and postage we would ask for a one-off joining fee of £10. Upon receipt of this fee a full membership pack will be posted out to you. Please make your cheque payable to: HMESG and post it to: P O Box 207, Chester le Street, DH3 9AR

Contact Information ~ ALL FIELDS ARE MANDATORY

First Name:
Surname:
Address:
Town/City:
Country:
Postal (Zip) Code:
Telephone:
Email:

Details of people affected with HME

First Person

Name:
Date of Birth:
Relationship:

Second Person

Name:
Date of Birth:
Relationship:

Third Person

Name:
Date of Birth:
Relationship:

Fourth Person

Name:
Date of Birth:
Relationship:

The items in this panel apply only to people living in the United Kingdom:

Tick here if you would like to be linked with other members.
If you would like to be linked to other members, tick here if you agree that we may pass on your name, address, telephone number or email address (only) to other members of the Group.
Tick if you would like a copy of our Information for Schools leaflet.
One of the Group's aims is to raise awareness of its existence by writing to as many United Kingdom health professionals as possible who come into contact with people affected by HME. It would therefore be helpful to have the following details:
Consultants Name:
Name & Address Of Hospital:

If you live outside the United Kingdom, you can still use our Noticeboard to link up with other people with HME.

Please tell us how you heard about this group:
Please use this space to tell us anything else you would like us to know:
Comments:

Verification Code:
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Hereditary Multiple Exostoses Support Group

UK Registered Charity Number 1091069

Affiliated to Contact a Family

Please complete the form below to send us your join request.

First Person

Second Person

Third Person

Fourth Person

The items in this panel apply only to people living in the United Kingdom:

Hereditary Multiple Exostoses Support Group

UK Registered Charity Number 1091069 Affiliated to Contact a Family

Please complete the form below to send us your join request.

First Person

Second Person

Third Person

Fourth Person

The items in this panel apply only to people living in the United Kingdom:

UK Registered Charity Number 1091069

Affiliated to Contact a Family