MDI Membership Form

Annual membership runs from January to December.
All new membership applications will need to be approved by the Board.
General Details
If you have muscular dystrophy / a neuromuscular condition, please select the name of the condition from the dropdown menu in the box below so that we can maintain accurate information and tailor our services to your condition.
Data Protection

Communication preferences
I agree to be contacted by MDI in the following ways regarding my membership. Please select yes or no for each option, indicating yes for at least one option

If you would like to make a donation additional to the membership fee, please indicate amount here
Paying the membership fee
 Please Note: After you click the Submit button you will be able to continue to PayPal and pay the membership fee via credit/debit card