Join Dignity in Dying,
Membership Application
Membership application

"If paying by Direct Debit please download and complete the form here. If paying by Direct Debit, UK membership costs £20 for an individual and £30 for a couple at the same address." Link to Direct Debit form ...

* are required fields.

Membership Type
Personal Details
Second Applicant
Contact Information
Membership Fee
  • Single membership: £25
  • Joint membership: £35
Signup