EmailMeForm
Star Wards Individual Membership Form
We look forward to welcoming you as a member of the Star Wards’ community!
Please complete this form to register as a Star Wards member. We’ll only use the information you provide in this form to get in touch with you personally about your interest in Star Wards and to keep a secure record of Star Wards members. You will NOT be automatically opted-in to any marketing mailing lists and we will NOT share your information with anyone outside of Bright (Voluntary Sector Communications) the charity behind this website.
We use EmailMeForm as our online forms platform. By clicking below to submit this form, you acknowledge that the information you provide will be transferred to EmailMeForm for processing in accordance with their Privacy Policy: https://www.emailmeform.com/v-privacy.html. Our privacy policy can be found here: https://www.starwards.org.uk/privacy-policy/
Your contact information
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Name
Email
Phone number
Organisation / place of study / other setting (If relevant)
Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Are you
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A healthcare professional
An independent practitioner
A lecturer
A student
A service user of mental health services
A carer, friend or family member of a service user
Other (please state)
Area of interest / work / specialism
*
Why would you like to become a Star Wards member?
*
I'm interested in the work you do
My area of work is related to mental health care
My area of study is related to mental health care
Other (please state)
Would you like to help Star Wards with a donation?
Yes
No
Maybe
Would you like to tell us anything else?
Please join our mailing list!
Please subscribe me
Email address to subscribe
Checkbox
*
I consent to having Bright (Voluntary Sector Communications) collect the data I have provided in this form.