SSSG Membership

SSSG MEMBERSHIP

If you decide to become a member of the SSSG, you will receive:

Newsletters as they are published
information booklets and fact files on various aspects of the condition
a copy of all new SSSG publications
a discount on the purchase price of Stickler - the Elusive Syndrome by Wendy Hughes
an invitation to our conferences, family days and other events organised by the SSSG
our unique membership badge

How much does it cost?

We ask all members to pay a one-off minimum membership fee of £20.

Please make cheques payable to: Stickler Syndrome Charitable Trust.

(Please note: Overseas members are requested to pay by sterling cheque or International Money Order ONLY).

The membership fee is per household or per address. The person whose name is on the application form will be the person to whom all correspondence is sent.

How do I join?

Fill in the SSSG Membership Application Form
Send it, together with your fee, to:

Stickler Syndrome Support Group (NM)
PO Box 371
WALTON ON THAMES
KT12 2YS.

Any further queries?

You can contact Wendy Hughes, Founder & Hon. President, on:

Tel: 01932 267635

E-mail: info@stickler.org.uk

MEMBERSHIP APPLICATION FORM

Please complete this form in CAPITAL LETTERS.

TITLE (e.g. Mr, Mrs, Ms, Dr. etc.)
FIRST NAME(S)
FAMILY NAME
ADDRESS POSTCODE
TEL. NO.
FAX NO.
E-MAIL

How did you find out about the SSSG?

.........................................................................................................................................................

Please help us to help you by ticking any boxes which apply to you.

I AM JOINING THE SSSG BECAUSE:

o I have Stickler syndrome
o I have a child/children aged 16 or under with Stickler syndrome.
If YES, how many children with SS? ______

o I have other relatives who have been diagnosed with Stickler syndrome.
If YES, how many other relatives with SS?
Adults ______
Children aged 16 and under ______

Are any of them members of the SSSG?
o Yes
o No.
o Don't know

o I have a professional interest in Stickler syndrome.

I enclose £………… Cheque/postal order to be made payable please to:

Stickler Syndrome Charitable Trust

___________________________________________________________________

For office use only:
Source: ……………………............
Fee received: ……………………..
Membership no: …………………..
MM/YY to renew: ………………….
Quex code: ……………………......

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