DONATE

Enclosed is my tax-deductible contribution for the:

SF New England Fund for Research and Program Support

Benefactor..........$l,000 & over    Sponsor.............................$25
Supporter............................$50 Patron...............................$500
Donor...............................$100 Member............................$25

Name _____________________

Address _________________________________________________________

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Please renew my membership in the Scleroderma Foundation/New England Chapter, $25 a year.

Please enroll me as a new member of the Scleroderma Foundation/New England Chapter, $25 a year.

I do not need membership benefits but I would like my contribution to help support your work.

Dues to SF/New England Chapter covers membership in BOTH the local and national organizations and subscriptions to the New England BEACON and the National Scleroderma Foundation magazine, the "Scleroderma Voice."

This contribution is made:

in honor of in memory