The Lupus Foundation of America,

Wisconsin Chapter, Inc.

 

needs you…

Please support the fight against lupus

by joining your local chapter.

 

In addition to receiving our quarterly newsletter, Chapter members receive a subscription to LUPUS NOW, an award winning national magazine filled with the latest information on Lupus research and treatment.

 

Your membership helps to:

· Educate patients and family members

· Increase public and professional awareness

· Promote and provide funds for lupus research

· Advocate for lupus patients and public policy

· Provide lupus video and book library

· Provide local support groups

 

JOIN NOW AND NEW MEMBERS RECEIVE A LUPUS WRIST BAND!

 

“Someone you know has Lupus”

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Please complete this Lupus Foundation of America, Wisconsin Chapter, Inc. Membership form and return payment to: LFA, Wisconsin Chapter, Inc. ● P.O. Box 26672 ● Milwaukee, WI  53226

 

Name_____________________________________________ Phone__________________________

Address___________________________________________________________________________

City__________________________________________ State____________ Zip_______________

E-mail ______________________________

Enclosed is my payment for a Lupus Foundation of America, Wisconsin Chapter Inc. Membership:

$20.00 Individual _____________    New___________ Renewal __________

$40.00 Family ________________   New___________ Renewal __________

$50.00 Professional ____________  New___________ Renewal __________       

I have also enclosed a donation in the amount of $ ______

 

In Memory of ___________________ In Honor of ___________________

 

ave also enclosed a donation in the amount of $ ______ In Memory of ___________________ In Honor of ___________________

Lupus Foundation of America,

Wisconsin Chapter, Inc.