Just print this page, fill it out and mail
it in along with your check to: Scleroderma Foundation
South Carolina Chapter, 1027
South Pendleton St. B244, Easley, SC 29642.
For only $25
a year, you can support our mission—and receive our quarterly
24-page newsletter from the National Foundation and a newsletter
from the South Carolina Chapter, packed with the latest news
and information on research and treatments, articles by medical
professionals, inspiring stories about people with scleroderma
and how they cope, practical tips, a list of our literature
for sale, letters from readers, and many other features of
interest to you.
 ----------------------------------------------------------------------------------------------------------------------
I would like to join at the following level:
_____ Regular $25
_____Canada/Foreign $35
_____Sustaining $50
_____Sponsor $100
_____Patron $500
_____Benefactor $1000
_____ NEW MEMBER _____ RENEWAL
Name:____________________________________________________________________
Address:__________________________________________________________________
City, State, Zip Code:________________________________________________________
Area Code/Telephone Number:_________________________________________________
Email Address:______________________________________________________________
______I am making a gift of $________ My gift is _________
in memory of _______ in honor of
Name of person remembered or honored__________________________________________
Address (for us to notify the person honored)_______________________________________
City, State, Zip_______________________________________________________________
______Check here if you would like information on planned
giving. |
