Membership Checkout

Membership Level change

You have selected the Full Member (Non-UK 1 Year) membership level.

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	Full membership benefits
	AGM voting rights
	No immediate access - approval required

Approval Required: you will be required to supply evidence of being domiciled outside of the UK in order to qualify for this membership level.

The price for membership is £12.00.

Membership expires after 1 Year.

Make a Gift

The KSA is run entirely by volunteers and depends heavily on donations to carry out its important work. 100% of all donations go towards raising awareness and supporting those affected by KS/XXY. If you would like to make a donation, however small – or large! - please enter amount here. Thank you very much.

Would you like to set up automatic renewals?

Yes, renew at £12.00 per Year.

Would you like to Gift Aid your membership fee?

Under the Gift Aid scheme, For every £1 you give us, the KSA can claim an extra 25p back from the government at no extra cost to you. If you wish to Gift Aid your payment please click here and read the declaration:

Yes, allow Gift Aid to be collected.

I want the Klinefelter's Syndrome Association (KSA) to claim Gift Aid on my membership subscriptions and any donations I have made in the past 4 years, and those I make in the future, until I tell them otherwise. I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that year, it is my responsibility to pay the difference.

I will tell the KSA if I am no longer eligible to claim Gift Aid or if my name or address change.

Account Information Already have an account? Log in here

Username

Note: Any nickname or your email address

Password

Confirm Password

Note: Your password must be at least 8 characters long and contain upper and lowercase letters, a number and a special character like /?.,*&~_+-={}[]\

First Name

Last Name

Email Address

Full Name LEAVE THIS BLANK

Address and Contact Details

Please enter details of the principle account holder, that is, the paying member:

Address 1

Address 2

Town/City

County

Post Code

Country

Telephone

Mobile

Additional Information

Are you the person with KS/XXY?

Yes

Your relationship to the KS/XXY person

Other relationship

First Name

Last Name

Karyotype

Other Karyotype

Date of Birth

Note: if unborn, please provide approximate date.

Additional Accounts (Optional)

As an additional membership benefit, you can specify here up to two free additional accounts for other family members e.g. a partner, grandparent or young person who is KS/XXY. They will have the same access to our website, receive the same newsletters and event notices as the principal account member.

Do you require additional [free] membership accounts? (Max: 2)

Yes

Optional Account (1): Please describe the relationship to the KS/XXY person

Other relationship (1)

Username (1)

First Name (1)

Last Name (1)

Email Address (1)

Optional Account (2): Please select the relationship to the KS/XXY person

Other relationship (2)

Username (2)

First Name (2)

Last Name (2)

Email Address (2)

Our Privacy Policy

We take the protection of your private information very seriously. Please refer to our privacy policy for more information on what information we store, why and for how long.

By continuing checkout you are agreeing to your information being processed as described in our privacy policy. If you do not agree, please do not continue to checkout.

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