Mutual Support - The Armed Forces International Support Group Membership Update

(Please list the person with MS as the main member)

Name:   Title  Mr Mrs Miss

Full name of partner:

Please list all dependant children under 18 years of age:

Address:   Telephone Number: (Please provide a landline no. where available) 

E mail address:       Newsletter by e-mail ?   Yes No

The following Questions are for the person with MS

Are you still Serving?  Yes No       Service:  Army Navy RAF RM Other       Service number: 

If NO when did you retire?     Are you in receipt of a WP or AFCS award?    Yes No

Is the person with MS a dependant?  Yes No     Are you in receipt of DLA?   Yes No

Date of diagnosis?         Date of first symptoms of MS? 

Form Completion Date: 

When you are happy you have completed the required boxes, please click once on the Submit Form button to email your update
to the membership team. Wait a few moments and when your answers are shown, your information has been sent.

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