Membership

Membership to the Jersey Heart Support Group is just £10 per year (under 18’s free). Join us and take part in social gatherings, talks from guest speakers and catch up with the latest medical news. You can also take part in subsidised exercise sessions as a follow on from cardiac rehabilitation.

To become a member please complete the the form below.  When you submit the form you will be redirected to PayPal to make payment online either using your PayPal account if you have one, or by credit or debit card.

If you’d prefer print and send a membership form in the post then you can download the form here.

Membership

Forename *

Surname *

Email Address *

Confirm Email Address *

Home Telephone

Mobile Telephone

Address Line 1 *

Address Line 2

Parish * - Please select Grouville St Brelade St Clement St Helier St John St Lawrence St Martin St Mary St Ouen St Peter St Saviour Trinity

Postcode *

Additional members at the same address (if applicable)

First Name

Surname

Email Address

First Name

Surname

Email Address

Payment

Number of people requiring membership * One person (£10) Two people (£20) Three people (£30) Under 18 (Free)

Optional Donation Not at this time thank you £5 £10 £15 £20 £25 £30 £40 £50 £60 £70 £80 £90 £100 £120 £150 £200 £250

As a charity we rely on your donations to continue our work. Please help us to improve cardiac care in our community by adding a donation to your membership.

Payment £

When you click on the submit button you will be redirected to PayPal to take payment. You will also be sent an email confirming your membership and we will send your membership details to you at the address you have specified.

MailChimp Signup

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