EFI MEMBERSHIP
AND
CHARITABLE CONTRIBUTIONS

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EFI Membership:

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:

 

This is not an oline form, please print and mail the following form.

Enclosed is contribution of $_________________ made payable to:
Epilepsy Foundation of Idaho

Full Membership ($25)

Gift

Name ____________________________ Address ______________________________

City ______________________________ State ____________ Zip ________________

E-mail Address: ____________________________________________________________

Phone Number: _____________________________________

Epilepsy Foundation of Idaho
310 W. Idaho Street
Boise, ID 83702
(208)344-4340

Email EFI
efid (at) epilepsyidaho.org

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Last updated 1/18/2008
epilepsyidaho.org