Association of Young People with ME - AYME

Registered charity number 1082059

Ayme Membership Form

You can now join AYME online and access everything we have to offer even more quickly. Complete the following form and you'll be sent a welcome pack by post with all the details you need to register for the Members' Area, get extra support if you're severely affected, help us spread the word about ME and much, much more! Remember, joining AYME is always free, whether you join online or by post so there's no reason not to!

If you would rather join by post you can download a form to fill in here, or request an information pack to find out more about us and help you make up your mind. Please note, all fields marked * are compulsory.


Title (Mr/Mrs etc):	*
Forename(s):	*
Surname:	*

Your address:	*

County:	*

Country:	*

If other, please state: For example, Channel Islands or Isle of Man.

Your postcode:	*

Your telephone number (including STD code):	*

Your email address:	*
Confirm your email address:	*

Your date of birth (dd/mm/yyyy): (you must be under 26 to join AYME)	*

To help us comply with race relations legislation, please choose the option that best describes your ethnic background:	*

If you would like to access more of our services please continue below, if not then click here to go to the bottom of the page and submit your details now. (There will be another chance to access all our services once you are a member, more details will be available in the Members' Area of our website and in your bi-monthly Cheers magazine.)

Using the Functional Ability Scale, what is your estimated ability level?		%
How long have you been ill?

Where did you hear about AYME?:

Would you like to hear from your Regional Contact? (These are volunteer AYME members around the UK who can help you get in touch with other local members.)		Yes No
Would your parents/guardians/carers like to hear from other parents/guardians/carers?		Yes No

Would you/your family be interested in speaking to the press about life with ME if asked?		Yes No

Would you be willing/able to attend schools/other groups to collect a fundraising cheque if asked?		Yes No

Would you be willing to say a few words on behalf of the charity at such an event?		Yes No

Would you prefer to read our magazine online? (Cheers, our magazine for members is available to download in our Members' Area. If you're happy to read it in pdf format then it saves us money printing, packing and posting but we still send out plenty of paper copies if you'd rather have one!)		Yes No

You will also be sent details of how AYME can help to support parents, guardians and carers.

Please note that in order to keep in touch with you your details are held in accordance with the Data Protection Act 1998 and will be treated confidentially and sensitively to the benefit of AYME, its members and supporters. The information you provide will enable us to contact you with AYME publications, benefits, events and services. Data may be used in Fundraising and Marketing programmes for AYME. If you have any queries regarding your personal data please contact AYME�s Data Protection Officer at info@ayme.org.uk 08451 23 23 89

Your information will be used to enable you to access AYME services you have requested and to provide you with information. If you do not wish to access any services or be provided with any information please notify us by writing to the following address:

AYME
9a Vermont Place
Tongwell
Milton Keynes
MK15 8JA

Before submitting your form, please enter the words shown into the box provided. This helps us prevent automated programs from accessing the form and creating more work for the office!

If you have any trouble reading the words provided then click the first of the three symbols, the arrows, to refresh the selection. Visually impaired users can click the audio button below to hear a set of digits to enter and if you have any other problems the last symbol brings up a help pop-up.

Should you be unable to complete the form then email us, info@ayme.org.uk, to let us know and we can process your membership in another way.

Contact AYME - Telephone: 08451 23 23 89 - Post: AYME, 9a Vermont Place, Tongwell, Milton Keynes, MK15 8JA - Email: info@ayme.org.uk