Thalidomide Society
Membership

The Thalidomide Society Membership

Why become a member of the Thalidomide Society?

Formed by parents of children with impairments caused by thalidomide, which had been dispensed under the name of Distaval in the UK.

The Thalidomide Society began primarily as a support group for the children, their families and carers as there was little or no help from the UK government and health authorities.

Online Membership Application Form

Please complete the form below. Fields marked with * are required. All information will be treated confidentially and used only for Society purposes.

Contact Details

Newsletter Preference

How would you like to receive the Society newsletter?*

Electronically (Email)

By Post

Reason for Membership

Gift Aid Declaration

I confirm that I am a UK tax payer and I want the charity to treat all subscriptions and donations I make today and in the future, until I notify you otherwise, as Gift Aid donations.

I confirm I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for each tax year (6 April to 5 April) that is at least equal to the amount of tax that all the charities or Community Amateur Sports Clubs (CASCs) that I donate to will reclaim on my gifts for that tax year. I understand that other taxes such as VAT and Council Tax do not qualify. I understand the charity will reclaim 25p on tax on every £1 I give.

Please note Gift Aid cannot be claimed if someone else pays on your behalf

If you have any questions about Gift Aid please visit HMRC website

I wish to receive information from Thalidomide Society.
Your privacy is important to us and we do not pass on your details to any third parties.

By submitting this form you agree to Thalidomide Society Terms & Conditions and agree that we can collect the Gift Aid on your donation if you are eligible.