Membership Form

ANNUAL MEMBERSHIP DRIVE

Please support our non-profit organization and the cause of helping those afflicted with lymphedema (LE) by becoming a member. The annual fee is $25.  Your support as a member signifies that you are one of many who support the work being done to promote awareness, education, research, build treatment centers and break down the economic barriers imposed upon those with LE.

As a member, you will receive a Membership Card, Lymphedema Alert Band, a Lymphedema Brochure and Newsletters. The newsletters will contain articles and updates about what is happening concerning Lymphedema.

If you wish to become a member, please CLICK HERE for a printable version of the membership form, fill it out and send your tax-deductible contribution of $25.00 along with the form to:

Circle of Hope Lymphedema Foundation, Inc.
Jeanne Tassis, President and Founder
36 Woodcrest Drive
Prospect, CT 06712

Federal ID# 06-1549500

Please make checks payable to:
Circle of Hope Lymphedema Foundation, Inc.

Thank You!