Apply for a membership bursary

What is your postal address (including first line, town, county and postcode)? (required)

What is your daytime telephone number? (required)

What is your email address? (required)

Which of the following best describes your situation? (required)

I am unemployedI am retiredI am a studentI am employed

Which of the following best describes your **household** finances? (required)

My household income is less than £7,000 per yearMy household income is between £7,000 and £14,000 per yearMy household income is between £14,000 and £21,000 per yearMy household income is between £21,000 and £28,000 per yearMy household income is over £28,000 per year

Do you have genetic haemochromatosis? (required)

Yes I have genetic haemochromatosisNo I do not have genetic haemochromatosis A family member has genetic haemochromatosis

If you have been diagnosed with genetic haemochromatosis, what type is it?

Briefly, please explain why you are applying for a membership bursary? (required)

How did you hear about us? (required)

Thank you - please click the SEND button below to submit your bursary application. Please note that as a small charity, the number of bursaries is limited and bursaries do not include discounted access to HUK genetic testing or clinical services. All decisions are final. Thank you.