Barnsley Fibromyalgia Support group
Supporting fibromites their family & friends
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Membership form
 
 
Please  complete the membership form below. You then have the option of paying your membership through our online payment option or send us a cheque.
 
 

 

Title
Last name *
First name
Home address
Town/ City
Postal Code
Country
Home phone
Mobile phone
E-mail address
Comments
Send to e-mail address

 

To print the form click here

 

Payment Details 

 

 

You can pay the £10.00 membership fee online using Google checkout.

 

If you prefer to pay by cheque please print the form following the link below and post it to:-

 

 

Mrs S Brighton

 

3, Haigh Close

Hoylandswaine

Sheffield

S37 7LF

 

 

Please make cheques payable to-

 

 

Barnsley & District Fibromyalgia support group

 

 

To pay in group print the membership form, complete it and bring it to the group meeting with either cheque or cash.

 

 

 Thankyou