Please verify your action
Step one
Step two
Finish
Your donation
Please select a donation amount: *
Payment method
About you

How do you want to hear from Dystonia UK?

Please use this form to tell us your preferences. You can change your mind at any time. In the future, we will only contact you via the communication methods you prefer.


I am happy to receive updates from Dystonia UK including our latest news and information on fundraising, campaigning, services, research and volunteering (Please tick yes if you agree):


I would like to receive updates from Dystonia UK in the following ways (Please tick all of the boxes which apply):

Your Privacy

We will always store your personal details securely. We will only use them to provide the service(s) that you have requested and communicate with you in the way(s) you have agreed to. Your details may also be used for analysis purposes, to help us provide the best possible service. We will not pass on your details to anyone else and we will only share them if required to do so by law. For full details see our Privacy Policy.

By submitting this form you are agreeing to our terms and conditions

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.