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

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 cover the $ processing fees (estimated) so my entire gift can be put to work.

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

Family Membership — $55.00

Annual family membership

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 cover the $ processing fees (estimated) so my entire gift can be put to work.

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

Reduced rate membership

Reduced rate individual membership

Amount to Give

Minimum is $1.00

I'll cover the $ processing fees (estimated) so my entire gift can be put to work.

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

Be a Superhero

Our membership rates do not cover our cost of operation. If you can afford to donate a greater amount, we would be thrilled!

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

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

Other Amount

Minimum is $1.00

I'll cover the $ processing fees (estimated) so my entire gift can be put to work.

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

Contact Information

Phone

First Name

Last Name

Company / Organization

Country

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Please do not publish or disclose my name or donor status.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

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

Give in honor of

Contact information or instructions

Anything we should know about the person you're honoring?

Give in memory of

Special instructions

Anything we should know about the person you're memorializing?