* indicates required

**The information captured on this form will be used in accordance with the General Data Protection Regulation (GDPR 2018). Data on this form will be stored securely and will only be used to send you updates from P.A.U.L For Brain Recovery and Paul Talks. Your personal information will never be passed on to any third party.  Please let us know all the ways you would like to hear from us:  

Email Marketing Powered by Mailchimp