INReview Subscriptions

1. Standard Membership £9 for UK and Northern Ireland
2. Renew Standard Membership £9 for UK and Northern Ireland
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For European and worldwide membership please email info@anticoagulationeurope.org for more details.

1. Reason For Taking Warfarin
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2. I attend a hospital clinic -- Please Select -- Yes No
3. I attend a GP clinic -- Please Select -- Yes No
4. I attend a pharmacy clinic -- Please Select -- Yes No
5. Other (please state)
   If non of the above are applicable please give details
6. Do you self-test? -- Please Select -- Yes No
7. Do you self-manage? -- Please Select -- Yes No
8. Do you feel you were given enough information at the start of your treatment -- Please Select -- Yes No

In accordance with the Data Protection Act, AntiCoagulation Europe will not pass your details to another party. However, from time to time we may wish to contact you with anticoagulation surveys or new information that may interest you.

1. If you do not wish to receive such information please tick this box.

Help us to claim gift aid on your payments to ACE. We can claim extra money from the Inland Revenue under the gift Aid scheme.

1. If you pay tax at the standard or higher rate we can claim extra money from the Inland Revenue under the gift aid scheme. Please tick the box to confirm that you pay tax.

1. What information would you like to read about in the magazine?
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