EFI MEMBERSHIP
AND
CHARITABLE CONTRIBUTIONS
As a member of the Epilepsy Foundation of Idaho, you become a member of the epilepsy movement - you help in spreading the word about what epilepsy is and what it is not. Basic membership is $25.00 per person. Your annual membership includes:
- EPILetter, EFI's newsletter published three times yearly
- Access to a mail order drug discount program offered through EFI
- Invitation to annual membership meeting and voting privileges
- The Epilepsy USA, the Epilepsy Foundation's newsletter
This is not an oline form, please print and mail the following form.
| Enclosed is contribution of $_________________ made payable to: Epilepsy Foundation of Idaho
Name ____________________________ Address ______________________________ City ______________________________ State ____________ Zip ________________ E-mail Address: ____________________________________________________________ Phone Number: _____________________________________ |
Full Membership ($25)Epilepsy
Foundation of Idaho
310 W. Idaho Street
Boise, ID 83702
(208)344-4340
efid (at) epilepsyidaho.org
Last updated 1/18/2008
epilepsyidaho.org