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Membership We are continuously in need of the support of the community to assist us to help those who suffer the long term effects of this debilitating disease. We urge you to join our cause to help break the sickle cycle by becoming a member or the organization today. Different levels of membership:
To stay current all membership should be renewed on a yearly basis.
Become a Member Of the Sickle Cell Disease Association/Volusia County Chapter, Inc.
Invitations are now extended to those who wish to renew their annual membership, and to those who are not a member but wish to join the SICKLE CELL DISEASE ASSOCIATION/VOLUSIA COUNTY CHAPTER, INC.
Complete the information below and mail with your tax deductible check to:
Sickle Cell Disease Association/Volusia County Chapter, Inc. P.O. Box 9083. Daytona Beach, Florida 32120.
Sickle Cell Disease Association/Volusia County Chapter, Inc. Membership Application
ANNUAL RENEWAL NEW MEMBER
NAME: ___________________________________________________________________________________________
STREET: __________________________________________________________________________________________
CITY: __________________________________ STATE: ___________________________ ZIP: ____________________
TELEPHONE: BUSINESS:__________________________________ HOME: ___________________________________
E-MAIL:___________________________________________________________________________________________
OCUPATION: ______________________________________________________________________________________
Will you do volunteer work? Yes No
If yes, please check areas of interest: Development Committee Public Relation Committee Fundraising Committee Education Committee
TYPE OF MEMBERSHIP: Regular $10.00 Student $5.00 Contributing $25.00 Corporate $250.00 Sustaining $50.00
FOR CORPORATE MEMBERSHIP INFORMATION CALL: (386) 258-5605, E-mail: This e-mail address is being protected from spambots. You need JavaScript enabled to view it |