The document is a membership form for SEED (Support and Education for Eating Disorders), which provides support and resources for those affected by eating disorders. It requests contact information and membership type, with options for clients, carers, professionals, volunteers or other. Membership is £10 annually and allows borrowing from the SEED library with the agreement to return items on time or pay replacement costs. SEED aims to support sufferers and carers rather than provide standalone treatment.

1. SEED (Support and Education for
Eating Disorders)
MEMBERSHIP FORM
Name
Address
Postcode
Tel No.
Email
Type of Membership (Please Circle):
Service User (client) / Service User (carer) / Professional / Volunteer / Other ________________
Other Information You Feel may be helpful or relevant to inform us...
______________________________________________________________________________
______________________________________________________________________________
Other information/services/suggestions/other that you would like SEED to help you with
______________________________________________________________________________
______________________________________________________________________________
I enclose £10 annual membership fee. I understand that this helps to pay for the provision of
resources and services to support sufferers and carers and is payable January to January each year. I
understand that being a member of SEED means that I can borrow resources from the SEED library
and agree to return them within an agreed time period. If I do not return resources, I agree to pay
the full cost of the resource borrowed. I understand that SEED is a support service and does not
intend to provide stand alone treatment for eating disorders but to provide support and information
to sufferers and carers.
Signature________________________________ Date______________________
Please return this form along with cheque made payable to SEED, Fulwood Therapy Centre, 107 Blackbull
Lane, Fulwood, Preston PR2 3QA. If you would like information on alternative ways to pay the membership
i.e. CharityGiving.com, direct banking etc. please telephone Lynne on 0844 391 5539.