User registration

Note: Everything marked with a * is a required field.

* First name

* Last name

* Address

* Postcode

* 'Phone number

* Email

* Number of adults in your household

* Number of children in your household

Further information

If your circumstances are such that you cannot afford the weekly membership fee of £5 per household, then please use the "Further information" section to let us know, and we will consider whether the membership fee can be waived for a period.

Please check you can use our service click here for details

* Click to Confirm your agreement

I have checked that I can use this service

We collect your name for administraion purposes.
Please see our data protection policy for how we will use and store your information.

* Click to Confirm your agreement

Yes, I agree to Downham Aid storing my personal information for administrative purposes.