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Member Benefits

Membership of Klinfelter Organisation is £12 per annum.

A newsletter is produced 2 to 3 times per year and is sent to all members.

Members have access to a network of fellow KS suffers.

You will receive a phone call from us within a week of joining

How to Join the KO

To become a member of the Klinefelter Organisation please complete the on-line form.

Alternatively you can download this PDF version of the application form and apply by post

Left-click the document icon to open the application form, or 'right click' and select save or download

The membership fee can be paid on-line through our PayPal account, or it can be sent in the post by cheque or postal order.

Application to Join the Klinefelter Organisation

Are you applying for Full or Associate Membership ? Full Associate

Forename

Surname

Occupation

Are you are a member of another Klinefelter Organisation ?

If you are, please tell us which one

Contact Information

Address

Address

Town / City

County

Post Code

Home Telephone

Mobile

Email

Personal Information

Date of Birth (dd/mmm/yy)

Name of GP or Consultant

Name of Practice or Hospital

Would you like your partner to become a member (no extra cost)? Yes No

Name of Partner

Personal Information

Son's Name

Son's Date of Birth (dd/mmm/yy)

Son's GP or Consultant

Son's Practice or Hosptial

Payment Information

The KO is funded by member subscriptions and donations - if you would like to make a donation in addition to your membership fee please enter the amount - Thank you

Payment Method: PayPal Cheque / Postal Order

The Klinefelter PayPal account is treasurer@klinefelter.org.uk payment can be made from our shopping page (just select the appropriate membership product).

Please add your name to the comments box when making your payment so we can match up your payment - thank you

Cheques or Postal Orders should be made payable to Klinefelter Organisation

Post to: Box 9969 Colchester CO1 9FQ

Please provide the following information:

Name of Bank

Cheque Number

Comments or Additional Information (optional)

The KO holds membership details on Computer and in accordance with Data Protection guidelines - tick this box to indicate your agreement for your information to be held on our computers

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