Support Us > Become a Registered Individual Supporter

Become a Registered Individual Supporter

As a registered individual supporter you will have access to all our online literature and fact sheets to read and download, access to our Continence Clinic Database service, receive copies of our bi-annual magazine and a copy of our Just Can't Wait toilet card.  You will need to login each time you visit our website to fully access these services.

Annual Registered Support for an individual is £10.00 per person per year. 

This is a secure application form. Please complete all sections, indicating what your current symptoms/conditions are using the tick boxes and press send.

You will then be taken to PayPal to make your payment, you do not need a PayPal account to complete this transaction.  If someone else makes the PayPal payment for you, please could you either send us a message in PayPal confirming this or alternatively, please email us on info@bladderandbowelfoundation.org  confirming the name of the payer and whom the payment is on behalf of. This will ensure that we can tie up payments received to the registered supporters name.

When you have completed your  payment  and had this confirmed by Paypal (on screen confirmation), please redirect back to the B&BF website to activate your account. You should then be able to login using your chosen username and password and start accessing information.  If you don't redirect back to the B&BF website at this point, we will manually activate your login which may take a little longer to process.

Your registration and login details will be confirmed by email to the email address you have given us.

Once registered you will also automatically receive the next issue of our magazine and your Just Can't Wait toilet card will be posted as quickly as possible, however, please allow up to 10 working days to receive your card. Details of registered supporter's online services can be viewed using the link boxes at the bottom of this page or by visiting our Resources Section.

Renewing your support

If you have been a B&BF supporter for a year, your supporter account will be due for renewal. To find out the date of your renewal please log into your Supporters Account where you'll see the date. If you need to renew now, please follow the links and on screen instructions to continue supporting B&BF. 

Please don't fill the below form out again to renew as this will duplicate your account.

Title:	Mr Mrs Miss Ms Dr	DOB:	12345678910111213141516171819202122232425262728293031 JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember 190019011902190319041905190619071908190919101911191219131914191519161917191819191920192119221923192419251926192719281929193019311932193319341935193619371938193919401941194219431944194519461947194819491950195119521953195419551956195719581959196019611962196319641965196619671968196919701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013
First Name:		Surname:
Address:		Town/City:
County:		Post/zipcode:
Home Telephone:		Mobile:
Email:
Username:		Password:
		Confirm Password:

Bladder Problems		Illness or Condition
Uinary Leakage		Cancer
Leak on cough/sneeze/laughing		Dementia
Sudden need to empty bladder		Diabetes
Pass urine more than 7 times a day		Multiple Sclerosis
Leaking on the way to toilet		Parkinsons Disease
Passing urine more than twice a night		Prostate Problems
Difficulties in passing urine		Spinal Injury
Intermittently self-catheterising		Stroke
Indwelling Catheter		Stoma
Bowel Problems		Crohn's Disease
Accidental Leakage from the bowel		Coeliac Disease
Constipation		Diverticular Disease
Diarrhoea		Irritable Bowel Disease
Urgent need to empty bowel		Ulcerative Colitis
How did you find us?
TV Advert
Through a Health Professional
Search Engine
B&BF Booklet
Word of Mouth
Other Charity
Published Media Article
Womans Institute Membership Booklet
Not Known
Are you happy to be contacted by B&BF to advise you of any new treatments, research or services?
By Email
By Phone
By Post
Please copy the numbers/letters into the text field.