Online order form

Please fill in your details in the relevant sections below and we will be happy to send you an information pack about meningitis. Please indicate which items you would like in your pack.

Item
Tick if required
'Check the symptoms' Wallet-size Cards
'What you need to know about Meningitis' leaflet
'Check the symptoms' Fridge Magnet

If you need a large quantity of awareness materials, eg for an event, if there has been a case in your area or you are from an organisation such as a school, hospital or community group, please call us on 0117 373 73 73 and we will be happy to arrange this with you.

As well as the above, we also have items such as a 'Jessica’s Story' DVD, symptoms posters and drinks coasters for you to raise awareness.

* denotes a required field

Name: * *
Organisation:
Address: *
 
Town:
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Postcode:*
Tel No :
Email:*

Have you experienced meningitis within your family/circle of friends?
If 'Yes', please give further details  
Are you an existing supporter of Meningitis UK?
If 'Yes' for how long have you supported the charity?
If 'Yes' why do you support the charity?
How did you first hear about Meningitis UK? *
If 'Other', please specify:



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MeningitisUK is the working name of Spencer Dayman MeningitisUK · Registered Charity No.1076774

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