The Association for children with hand or arm deficiency

Please use this form to renew your Reach membership

Membership Renewal Form

Information about you
Details marked * MUST be entered

Surname	*
Forename(s)	*
Reach Membership Number	*

Address	* * Postcode / Country

Telephone
email	*

Membership type	UK Full Membership (£25) Overseas Electronic Membership (£25) Overseas Full Membership (£35)

Payment

Membership payment	*	All payments will be deducted in UK Pounds Sterling
Donation
Total	*

When you click the 'Submit' button below you will be taken to a secure payment site operated on our behalf by CAFBank Ltd. Here you can safely enter details of your credit card or other payment method. Please note: You will be asked to make a 'donation', this is a CAF Bank standard wording and in our case includes subscriptions or other payments; please enter the total value you entered above. Please also note that all deductions are in UK Pounds Sterling

Important: submitting this form does not activate payment, you must complete the transaction through CAF Bank.