Share your story

Real life stories are important to us as they show the reality of life with macular disease - something that is not widely known.

This form is to gather basic details about how we may use your story and/or image. Please note that we will endeavour to contact you before using your story or image to make sure you still agree, but if you no longer want your story to be on file and potentially be used please do let us know. 

A parent or guardian must complete this if the person in the story is under 16.

Required fields are indicated by *

We would love to stay in touch

You're helping to Beat Macular Disease, thank you. We'll use the details you have given us to provide the service or communications you have requested. We'd also love to keep you updated about how you can get involved with fundraising, events, products we sell and how we campaign.

Please tell us how you'd like to hear from us by ticking every box below that applies to you:

If you've already told us how you want to hear from us, you don't need to do anything else. You can change what you receive from us at any time on 01264 350 551 or

We process and analyse your data to send you relevant information. We will never sell your data or share it with anyone not directly working on our behalf. For more information, find our privacy policy at