Want to become a member of the Yul Brynner Foundation?
MEMBERSHIP OPPORTUNITIES:
|
Membership Categories |
Annual Dues |
|
Survivor Member: Includes survivors of any cancer |
$10.00 |
|
Survivor Support Member: Available to friends and family of cancer survivors. |
$25.00 |
|
Member: Available to any person interested in supporting the cause. |
$35.00 |
|
Health Care Member: Available only to health care personnel in support of the campaign. |
$50.00 |
|
Corporate Member: For organizations and companies interested in supporting this campaign. |
$100.00 |
MEMBERSHIP INFORMATION:
Along with your personal check for membership dues,
made payable to The Yul Brynner Head and Neck Cancer Foundation, Inc.,
please provide the following information to us:
Name: .....................................................................
Institution: .....................................................................
Address: .....................................................................
City: ......................................... State: ................................................ Zip: ........................
Telephone: .................................. Fax (if available): ..................................
Email: .........................................................
Please accept my membership in The Yul Brynner Head and Neck Cancer Foundation, Inc. As a member, I pledge to uphold the ideals of The Foundation which include the mission of increasing the awareness,prevention, education, rehabilitation, research, and cure related to head and neck cancer. I have enclosed a check in the amount listed below.
Please send check to:
The Yul Brynner Head and Neck Cancer Foundation South Carolina Chapter
Attn: Membership
P. O. Box 250550
Charleston, SC 29425
Telephone: 843-792-6624
Fax: 843-792-8299