Acoustic Neuroma Association of NJ

 

Membership and Donations

 

Thank you for thinking of joining ANA/NJ and/or for making a donation to support the work of our organization. Membership dues and gifts are the main resources available to ANA/NJ to help us fulfill our mission to provide information, encouragement, and support to AN patients and their families. Please consider supporting ANA/NJs endeavors by becoming a member or contributor. Thank you!

 

Please print this page and send along with your check to:

Jane Huck, Treasurer
ANA/NJ, Inc.
65 E. Young Street
Somerville, NJ 08876


 


Name _______________________________________________

Address _____________________________________________

City, State, Zip______________________________________

Phone_________________________________________________

Email_________________________________________________




Enclosed is a check or money order in the amount of:
____ $25.00--New/renewal membership
____ $200.00--Life membership
____ $25--Sponsor a member
____ $10 - $50--Associate
____ $50 - $200--Supporter
____ $200 and above--Benefactor
____ $_________ My donation to support the work of ANA/NJ
(Beautiful donation cards are available in honor or in memory of someone special. For cards, please contact Phyllis Schrieber by email, or phone at 201.944.9874)

All members will receive the ANA/NJ newsletter, bi-annual directory, notices of local meetings, updates, pamphlets and other information.

Make all checks payable to: ANA/NJ Inc.


Please enroll me as a member of ANA/NJ.

I am a:
____ Patient
____ Family member or friend
____ Physician or other Healthcare professional

ANA/NJ is affiliated with ANAUSA.

For membership in the national association, write to:
Acoustic Neuroma Association
600 Peachtree Pkwy, Suite 108
Cumming, GA 30041

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