Become our Friend

Please register your details in the form below and we will contact you within three working days to take payment over the phone.

If you select to pay by cheque please follow the instructions given. If you would prefer to register by post please Download an application form.

Useful documents

Friends Membership application form

Invite your friends to join us - download an invitation

» Indicates required fields

Annual subscription type

Please choose your membership type(s) and indicate the numbers required for each.

Adult

Youth (under 16)

Senior citizen

Family (max.two adults and three children under 16 living at the same address).

Member details

Names of adult members

Names and dates of birth of youth members

Names of senior members

How would you like to pay?

Payment type » Direct debit (this will help us save on admin costs)
Single payment by credit/debit card
Cheque

Cheques should be made payable to: Great Ormond Street Hospital Children’s Charity and posted to: Friends Membership Scheme, GOSHCC, 40 Bernard Street, London, WC1N 1LE.

Contact details of adult making payment

Title »

Forename »

Surname »

Address »

Address

City »

County

Postcode

Country

Email address

Daytime telephone »

A welcome text message is sent to all new members who provide a mobile number.

Mobile phone

Data protection

The information provided will be held by Great Ormond Street Hospital Children's Charity for processing and administrative purposes in accordance with the Data Protection Act 1998.

Your communication preferences

We would like to keep you informed about our work, appeals and events in the future. Please select your preferred method of communication below.

Mobile

Post