Become a Regional Ambassador

As a sufferer or as someone who lives or works with a sufferer, you are best placed to describe and explain the terrible effect tinnitus can have on people's lives. By getting this message across to other people, our objective is to raise further funds to conduct the research that will bring relief for millions of people like you.

There are a lot of activities that you can undertake to promote tinnitus awareness. You can help by writing to your MP and the media, handing out educational materials, and more. If you (or a friend or relative) would like to help us raise awareness of tinnitus, and you live in the UK, please fill in your details in the form below and click on the Send form button.

To read our Ambassadors' stories, go to Meet our Regional Ambassadors.

* = required
Title * Mr, Ms, Dr etc
First name *
Surname *
Email address *
Postal address *
Town / City *
County
Post code *
Phone number *
Your tinnitus experiences *
How would you prefer us to contact you? *	email phone post
Verification * (enter the code exactly as it is displayed)
	We will not pass on your details to other organisations. However, your details will be added to our database so that we can send you relevant information as appropriate. If you do not wish to receive further information, please contact us: 020 7679 8907 / [email protected]