Member Signup | Open Age UK

Current Eligibility
Personal information
Medical Details
Emergency Contact
Preferences & Consent
Complete

Membership Profile

Join Open Age

Becoming a member of Open Age is easy! Simply complete the fields below to start your membership journey.

Your information will be held in the strictest confidence. It may, however, be used to create anonymous statistics for our funders. These statistics enable us to show the impact Open Age has on members’ lives.

Eligibility

First Name

Last Name

Enter Postcode and select address from the list

Street Address

Street Address Line 2

Street Address Line 3

City

Birth Date

Open Age only offer memberships to those aged 50 years or over

Home phone

Mobile

Gender