Pain Concern Pain Concern is a UK based charity working to help, support and inform people living with pain and healthcare professionals. Listen to Airing Pain: radio show / online / on CD ● Read Pain Matters: news / features / opinion Call our helpline: 0300 123 0789 / email: help@painconcern.org.uk ● Visit www.painconcern.org.uk or Tel. 0131 669 5951 All new subscribers will get our free booklet – A Guide to Managing Pain Send cheques and postal orders to “Pain Concern”, 62-66 Newcraighall Road, Edinburgh EH15 3HS To pay using a card, please follow the instructions at the bottom of the page You can also pay us over phone by calling 0131 669 5951 _________________________________________________ Pain Matters and Membership Subscription Form Charity No. SC 023559 £12.00 I wish to receive 4 issues of the Pain Matters magazine £ £17.00 I wish to become a voting member / renew my membership of Pain Concern and receive 4 magazines. £ DONATION £ TOTAL ENCLOSED £ Name (Capitals) Address Post Code Telephone Email CREDIT AND DEBIT CARD PAYMENTS: Type (please circle): Visa / MasterCard / Switch Name on Card: Card No: Expiry Date (MM/YYYY): / 3 Digit security number: (The 3-digit security number is printed on the back of your card. It appears after and to the right of your card number.) Billing Address (if different from above): Make your subscription to go further, Gift Aid it. Please tick I want all donations I make from the date of this declaration, until I notify you otherwise, to be Gift Aid. Gift Aid means that for every pound you give, we get an extra 25 pence from Inland Revenue. £10 is turned into £12.50. Imagine what a difference that could make, and it doesn’t cost you a thing. (To qualify for Gift Aid, what you pay in income tax or capital gains tax must at least equal the amount we will claim in the tax year.)