To become a member of Mutual Support, please fill in the form below and a member of our team will get back to you as soon as they can. "*" indicates required fields Part 1 – For the person living with MSAre you:*Still servingVeteranDependentUK Armed Forces personnelName* First Last Which of the Armed Services did or do you belong to?*Royal NavyRoyal Air ForceThe British ArmyService No. of the person who served:Date of discharge (if applicable) DD slash MM slash YYYY Last workplaceTelephone Number*Email Address* Address* Street Address City Region Post Code I consent to Mutual Support sending me emails / newsletters*YesNoHow did you hear about Mutual Support?Social MediaGoogleWord of MouthFundraising EventFrom family/friendsFrom work colleaguesOtherAbout Your MSDate of diagnosis* DD slash MM slash YYYY Were you medically discharged from the Armed Forces?*YesNoPart 2 – Your spouse / partner / dependentsName First Last Email Address Mobile NumberI consent to Mutual Support & MS Society using this informationYesNoHow many dependent children still in full time education do you have?0123456This information helps Mutual Support when applying for funding from Military Charities.
