Chilterns MS Centre

Keeping in touch ...

On this page you can tell us how you would like to be contacted, and what you may like to receive.


With new data protection regulations coming into effect in May 2018, we are required to gain your ‘expressed and personal’ consent to continue receiving information from us. Take a look at our full Privacy Policy on the Chilterns MS Centre website;

So we can identify you...

Please enter your details below, so that we know who you are!

State / Province*
Confirm Email*

Contact me ...

Please select your preferences for each method of contact.

I'd like to receive ...

The following list is subject to change as new information becomes available.

Tick the things you would like to receive
  • Carers' Newsletter by email
  • CENTRE NEWS by email

Your Privacy

We take your privacy and the security of your information seriously.


We will never disclose or sell your data to a 3rd party; we keep it safe and secure and only use it for the purpose of contacting you about your donations, events, news and fundraising at the Chilterns MS Centre, according to your preferences.


View our full Privacy Policy on the Chilterns MS Centre website;


You can change your contact preferences at any time by coming back to this form or by phone 01296 823040, email, letter (Oakwood Close, Wendover, Bucks HP22 5LX) or in person.


Thank you for completing this form.

Additional Comments

Security Code

Share This Form

Powered by eTapestry.