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Back to: Issue No.34
The INFLAMMATORY NEUROPATHY SUPPORT GROUP OF VICTORIA INC.
Supporting sufferers from acute Guillain-Barré Syndrome (GBS)
and
Chronic Inflammatory Demyelinating Polyneuropathy (CIDP)
YES, I am happy to continue helping the IN Group by renewing my membership.
I Enclose $.......... being Annual Subscription $10 and optional donation. Subscription is due on the 1st of July each year.
Cheques should be made out to The IN Group and mailed to:
The Secretary,
The IN Group
138 B Princess Street
Kew 3101
You can print this web page in your web browser and mail the completed form below - Webmaster
ANNUAL SUBSCRIPTION
Name ................................................
Address .............................................
.............................................
............................................. Post Code ..........
Telephone (Home) .........................
Telephone (Work) .........................
Signed ...................................
Date .....................................
Thank you