pelvicpartnership.org.uk

Home

Join Us

Join the Pelvic Partnership today: Membership Form

By joining The Pelvic Partnership you will receive our newsletter with all the latest information about how to effectively treat and manage Pelvic Girdle Pain (PGP) formerly known as Symphysis Pubis Dysfunction (SPD). The newsletter also includes dates of our support group meetings, lectures and events that you may find useful. We rely on your donations to run this charity. We produce and distribute newsletters and leaflets to improve awareness of PGP. Please help us to continue with these activities by joining or making a donation. Extra donations and fundraising ideas always welcome; the more we raise the more we can do.

The cost of membership is:

£19 for ordinary membership for one year

£10 for ordinary membership for six months

£30 international membership for one year

If you cannot manage the full rate at present, please send us what you can afford. You do not have to make a financial donation to become a member or to use our services – simply complete the form with your contact details and return it to us.

You can pay by cheque, standing order or paypal.

If sending a cheque, please make it payable to “The Pelvic Partnership” and send it to: 26 Manor Green, Harwell, Oxon, OX11 0DQ. If paying by paypal, please use the Donate Now button at the top of the screen to access this payment method. If paying by standing order, please indicate this on the form below and details will be emailed to you for you to set-up the standing order with your bank.

Our team is made up of a small group of volunteers and it can take a week for us to pick up messages before we can respond to them. However, if you have an urgent enquiry, please ring our helpline number on 01235 820921 for a response of just a few days (although holiday periods can take a longer).

Please use the spam filter at the bottom of the form in order to help us reduce our spam! You need to type the letters and numbers shown in the box which are case-sensitive and then click "send" to submit your form. Thanks for your help in reducing our administration.

* Required information.

mad4media user interface design

This website was designed by jigsaw www.completethejigsaw.com

Name *
Date
Address *
Postcode *
Telephone number
Email address *
Confirm Email Address *
Method of payment *
Donation value
Name *
Date of Birth
Is this information for you?	Yes No
If not, who is it for?	Friend Relative Patient
How long have you had pelvic pain and when did it develop?
Are you pregnant at the moment?	Yes No
Is the pain related to pregnancy?	Yes No
How many children do you have and in which years were they born?
Did you have pelvic pain with each pregnancy?	Yes No
Do you still have pain now?	Yes No
How would you rate the severity of your pain?	1 2 3 4 5 6 7 8 9 10
Have you had any treatment, from whom and how effective has it been?
Have you found any information from other sources, and, if so, what were they?
Please add any extra information you would like to share in this section
Would you like one of our volunteers to call you regarding your comments?	Yes No
Would you be happy for us to print your story in our newsletter or website?	Yes No
How did you find out about the Pelvic Partnership?