We exist to improve the lives
of everyone affected by epilepsy

Direct Debit membership secure payment

Thank you for choosing to join Epilepsy Action!

As well as spreading the cost of your subscription across the year, you can help us save vital funds on administration by setting up a Direct Debit. Payments can be taken from your account monthly, quarterly or annually.

Other ways to pay

If you prefer, you can pay by credit / debit card, or cheque (if you can’t print the form, we can send one to you. Just email membership@epilepsy.org.uk) or by calling +44 (0)113 210 8800.

About you
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Membership card
If you're having an epilepsy identity card, please enter the emergency contact number for your next of kin in this box
Membership type
*For UK students, pensioners and those in receipt of state benefits (excluding tax credits) **Instead of receiving Epilepsy Today magazine by post, we will send a link by email so you can view it online.
Payment by Direct Debit

We keep our membership fee as low as possible so more people can join. But this means it only just covers the costs!

By topping-up your subscription with a small donation, you can help campaign for change and provide life-changing advice and support for everyone affected by epilepsy.

£
Instructions to your Bank or Building Society to pay by Direct Debit
Originators identification number 865538

Instructions to your bank or building society.

Please pay Epilepsy Action Direct Debits from the account detailed in this instruction, subject to the safeguards assured by the Direct Debit Guarantee. I understand that this instruction may remain with Epilepsy Action and, if so, details will be passed electronically to my bank/building society.
Direct Debits can only be taken from UK Bank Accounts
Banks and Building Societies may not accept Direct Debit instructions for some types of account.

Gift Aid (UK tax payers only)

*I am a UK taxpayer and I 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 tax year it is my responsibility to pay any difference.

Please let us know if you want to cancel this declaration, change your name or home address or if you no longer pay enough tax on your income and/or capital gains.

Data protection

We would really like to keep you up to date with the work of Epilepsy Action and ways you can support it, including through our trading company. If you prefer not to be contacted in any of these ways, please tick the boxes.

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