Membership Form | Massachusetts ME/CFS & FM Association Inc

Membership Form

Please Complete The Form Below.
If you experience any problems, please contact us at Membership@MassMECFS.org

Choose a Donation Option

Individual Membership — $40.00

Annual individual membership

One-Time Only Annually

You will be charged today and then every month until you cancel.

You will be charged today and then every year until you cancel.

Amount to Give

$40.00

I'll add $ to cover processing fees.

Donations are tax-deductible to the extent permitted by law.

Add an optional note

Add an Optional Note

Family Membership — $55.00

Annual family membership

One-Time Only Annually

You will be charged today and then every month until you cancel.

You will be charged today and then every year until you cancel.

Amount to Give

$55.00

I'll add $ to cover processing fees.

Donations are tax-deductible to the extent permitted by law.

Add an optional note

Add an Optional Note

Reduced rate membership

Reduced rate individual membership

Amount to Give

Minimum is $1.00

I'll add $ to cover processing fees.

Donations are tax-deductible to the extent permitted by law.

Add an optional note

Add an Optional Note

Contact Information

Phone

First Name

Last Name

Company / Organization

Country

selected

Address

City / State / Postal Code

Donate Anonymously?

It is okay to include my name when listing your donors.

Please do not publish or disclose my name or donor status.

Dedicate your gift

Not applicable In memory of In honor of

This gift is not being made in honor or memory of someone.

Give in honor of

Please send a note about my gift to:

Include contact information if you'd like us to reach out to them.

Give in memory of

Please send a note about my gift to:

Include contact information if you'd like us to reach out to them.

Individual Membership — $40.00

Family Membership — $55.00

Reduced rate membership

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