Prader-Willi Syndrome Association of New England

It's Easy to Become a Member of PWSA of New England

2000 DUES: $ 15 per calendar year

Please make check payable to the Prader-Willi Syndrome Association of New England, Inc. or PWSA/NE, Inc. and mail, along with the form below to:

Chapter Treasurer:
Kimberly Howlett-Silva
377 Cross Rd.
N. Dartmouth, MA 02740 (508)-991-6705

For further information on the benefits of membership, please call or write

Chapter President:
Margaret Bell
18 Claridge Circle
Milford, MA 01757

Anyone faced with financial difficulty can call Margaret at (508)478-2065 and a confidential request will assure you will become a member.

 

MEMBERSHIP APPLICATION

NAME: _____________________________

 PHONE:__________________

ADDRESS:_______________________

CITY: ___________________   STATE:___________   ZIP:___________


Can we add your name, address and phone number to our New England Parent to Parent resource list?
          Please circle         Yes            No

Child's Name:__________________       Date of Birth_____________

2000 Dues $ 15.00
Additional Contribution $__________
Total $__________