Companion Subscription Form

Membership Form

If you are already a companion and wish to renew your subscription, please enter your companion number.

Single Companionships receive one Companionship Card which admits the named adult and two accompanied children up to the age of 17.
Couple/Family Companionships receive two Companionship Cards which each admit a named adult and two accompanied children up to the age of 17.

Information About You

Membership Form

Information About Your Partner

Membership Form

Keeping You Informed

Make A Donation

Please help. Chalice well is a registered charity and most companions already pay their subscriptions using gift aid, which helps us make their subscription go further at no extra cost to themselves. Gift aid is a government scheme where charities can reclaim money on your contribution from the HM Revenue and Customs. If you are a UK taxpayer, we can reclaim 25 pence for every £1.00 you give us. For example for a UK Companionship of £21.00, Chalice Well can claim an additional £5.25 from the government.

If you would like to make a donation to the Chalice Well Trust, then please enter the amount you would like to donate. Don’t forget to Gift Aid it!


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