The International FOP Association, Inc. Membership Fact Sheet

If you are the family member of a person with FOP, medical professional, friend, etc. and would like to join the IFOPA, please fill out the following form. Members receive our quarterly newsletter, The FOP Connection, information on FOP, and information on current research. For a printable version of this form, go to non FOP - membership form, which is a PDF file. You must have Adobe Acrobat to view it. Download Adobe Acrobat for free at:

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Date:

Name:

Organization:

Address:


City:   State:

Zip code:

Country:

Home telephone number:

E-mail:

Membership Category:
Family Member Friend Medical Professional

Briefly state how you found the IFOPA?:


What is your area of expertise and would you be willing to help the IFOPA/FOP families (family support/counseling, medical advice, equipment needs, public relations, education, etc.)

I have sent my $25 membership fee in the mail (US currency, please).

I have paid by Paypal. Use Paypal icon at the bottom of this form. My transaction ID is:

Please send me a copy of What is FOP? A Guidebook for Families ($10 extra, $13 extra for international addresses)

Please send me a copy of What is FOP? Questions and Answers for the Children ($5 extra, $7 extra for international addresses).

Thank you for joining, please press submit to give this form directly to the IFOPA.



 

International FOP Association
P.O. Box 196217
Winter Springs, FL 32719-6217


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International FOP Association · PO Box 196217 · Winter Springs, FL 32719-6217
407-365-4194 · E-mail
together@ifopa.org