Membership Checkout - Bristol Area Kidney Patients Association

All information provided is treated in accordance with our Privacy Policy.

Membership Level change

You have selected the One Year Membership membership level.

BAKPA Membership for one year.

The price for membership is £0.01 now.

Membership expires after 1 Year.

Make a Gift

Donations help us to xxxxxx. Please consider adding a donation on top of your membership fee to help keep BAKPA running.

Account Information Already have an account? Log in here

Username

Password

Confirm Password

Email Address

Confirm Email Address

Full Name LEAVE THIS BLANK

Personal Information

Mr / Mrs / Miss / Ms

Full Name

Address

Address Line 2

Postcode

Phone Number

Are you a:

More Information

BAKPA would like to share your name and address with the National Kidney Federation (NKF)

Yes, BAKPA can share my name and address with the NKF

No, please do not share my details with the NKF

NKF will only use the information to send newsletters, raffle tickets etc.

Marketing Permissions

News is updated regularly on our website and we also produce an occasional newsletter. Please indicate how you would like to receive BAKPA news

Send me news via email

Send me printed newsletters (one per household)

I'll read it on the website

Declarations

I acknowledge that information offered on this form is sent to the BAKPA treasurer & membership secretary

If newsletters were subscribed to, you can unsubscribe at any time following the instructions provided in them. BAKPA may also share the information with the National Kidney Federation (NKF) if you did not opt out above.

Gift Aid Declaration - Please read the Gift Aid description at top of page

I would like my donation to include Gift Aid

I do not want my donations to include Gift Aid

If you agree to Gift Aid, all donations made to Bristol Area Kidney Patients Association from the date of this declaration wil be Gift Aid until I notify you otherwise.

Processing...

IMPORTANT!

Please review the information above to ensure it is correct. Once you are happy, please click on the “COMPLETE PAYMENT” button above to complete your Registration.