Membership Payment Form

The annual membership fee at the Chilterns Neuro Centre is £25 and the membership year runs from 1 January to 31 December. If you join after 1 July 2025 then this will be reduced from £25 to £12.50.

You can set up a Direct Debit* to pay your membership fee automatically through GoCardless. This will take your £25 payment every year on or around 6 January. To set up your payment, please visit our GoCardless Direct Debit page.

Direct Debit has several benefits:

• You won’t have to remember to make future payments: as soon as your membership fee is due, we’ll collect payment straight from your pre-agreed bank account.
• You’ll be notified before each payment is taken and payments are protected, so you’re guaranteed a refund if a payment was ever taken in error. You can find out more at Direct Debit Guarantee.
• It saves time and money on administration for the Centre as existing standing orders are hard to track because they come out on different dates and we often have to send out reminders.

You can also pay a one-off membership fee using the form below. Alternatively you can pay at reception or over the phone by phoning 01296 696133.