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LUPUS SOCIETY

(BC Lupus Society)

1645 West 7th Ave

Suite 200

Vancouver, B.C.

V6J 1S4

 

Telephone: (604) 714-5564

Toll Free: 1-866-585-8787

Email: info@bclupus.org

 

 

 

working together to conquer lupus

Membership in the Lupus Society

Annual Membership

Method of Payment

This credit card information may be sent to an unsecured site and may be visible to others.

Cheque

Credit Card

Credit Card #:

Exp. date:

Renewal

New Membership

Please choose one:

10 Reasons to Join the Lupus Society

 

1. Join the fight against lupus.

6. Help the Lupus Society help others.

2. Learn about lupus.

7. Make new friends with a common bond.

3. Receive quarterly issues of the Lupus Lighthouse.

8. Gain emotional support.

4. Support research.

9. Receive new research information.

5. Learn coping skills.

10. Show that you care about this cause

Phone:

E-mail:

Street Address:

Name:

City:

Province:

Individual

Family

Donation

Total:

$20 

$25 

Postal Code:

Telephoning

Education

Patient Contact

Other

Clerical

Newsletter

Publicity

Computer (data entry, website design & mgmt. experience preferred)

Yes, I would like to receive event, meeting & other related info by email from LS

No, I would not like to receive Lupus information by email

We appreciate any time you can volunteer with the BC Lupus Society. Please indicate your area of interest for volunteering below:

 

If you prefer not to email, print and mail by post to:


Lupus Society,
200 - 1645 West 7th Ave, Vancouver, BC V6J 1S4

Or fax to: (604) 714-5555.

Please make cheques payable to BC Lupus Society.

Tax receipts will be issued.

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