Get Involved - become a member

F.A.C.T. MEMBERSHIP - APPLICATION FORM
(Please print and complete)

Membership is open to any adult who is, or has been, falsely accused or wrongly convicted of abuse whilst caring for or working with children in a non-parental role, e.g. a foster carer, day carer, youth worker, health care worker, church worker etc. It is also open to family and friends of someone falsely accused and to others interested in furthering FACTʼs aims and objectives.

Please complete fully

Title ___________________________________________

Forenames (in full) ________________________________

Last name _______________________________________

Address ________________________________________

_______________________________________________

_______________________________________________

Postcode _______________________________________

Home phone ____________________________________

Daytime phone __________________________________

Mobile ________________________________________

Em@il ________________________________________

Occupation ____________________________________

DECLARATION
I declare that I am innocent of any act of abuse and that any allegations which may have been made against me are false.

I agree to my membership details being stored on a database and understand that my membership may be refused, revoked or suspended if I bring the name of FACT into disrepute.

❏ I apply for / renew membership of FACT                   £ _______

❏ I make this donation to the work of FACT                £ _______

                                                                                    Total £ _______

We ask that members pay £20 per year if possible.

Those unable to afford this are still eligible for full membership.

Serving prisoners and their dependents are entitled to free membership.

Signed __________________________________________

Date __________________________

Please send this form to
The Membership Secretary 
FACT (UK)
The Oaklands
Stroat
Chepstow
NP16 7LR

❏ Tick here if you are currently under investigation and would like an ʻemergency responseʼ.

Note: Data Protection Act 1998
Members and supporters are asked to note that we maintain a manual and computer based data base. This contains names, addresses, date or year of joining/association, occupation and contact details including phone number, and email address. Access is limited to those holding office within FACT. Information will not be passed on to third parties. Under Section 33(2) of the Data Protection Act (1998) registration of this database is not required. Anyone wishing to have access to information held in respect of themselves, or wishing to have it removed should contact the secretary.