SAGS Membership Form

Celiac Sprue Association®, Chapter 15 Southern Arizona Celiac Support Group

Help yourself and others by joining or renewing your membership

Please use this form to register and pay through Paypal (using either a credit card or your Paypal account).

May 21, 2013

New Member
Renewal

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Preferred Method of Contact: Email / Phone / Cell

Member of Celiac Sprue Association®?

Are you a new member in need of a mentor?

WE ARE A VOLUNTEER BASED GROUP, SO WE NEED YOUR HELP!

Will you assist with ...

Committees	Peer Assistance	Funding
Chair a committee Assist committee chair Serve on a committee	Phone tree Mentor new members Transportation	Secure sponsorships Secure grants

Event Planning/Project Development	Educational Projects
Coordinate volunteers Data entry/organization	Outreaches: dispense info at health fairs In-Service: present or assist presenter to groups

Other:
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Last modified on December 08 2012.

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