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Ehlers-Danlos Foundation of New Zealand
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Name Address ...
Phone no Mobile no ... Fax ... E-mail . I have: Ehlers-Danlos Syndrome Type (if known) A family member with EDS Type . Hypermobility Syndrome (tick one) A family member with HMS There are ..other members of my family with EDS/HMS . I am willing to be contacted by other members (tick one) . I do not wish to be contacted at this time Please find the following amount enclosed: Individual Subscription of $10.00 $ . . Donation (optional) $ . Total $ ..
Please send payment to:
THE EHLERS-DANLOS FOUNDATION OF NEW ZEALAND
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Copyright © 2000-2007 Ehlers-Danlos Foundation
of New Zealand
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