Dallas Area Parkinsonism Society
Please renew your membership or become a new member of the Dallas Area Parkinsonism Society
New Membership
Renewal
Name
Address
City/State/Zip
Phone
Change of address?
Are you:
Parkinsonian
Spouse of a Parkinsonian
Child of a Parkinsonian
Health Care Professional
Other:
MEMBERSHIP CATEGORIES
Family
$40.00
Supporting
$100.00
Donor
$200.00
Life
$500.00
Other:
Please make your check payable to
Dallas Area Parkinsonism Society
6370 LBJ Freeway, Suite 176
Dallas, Texas 75240-6400
972-620-7600
Your support will help us to continue our many years of service to Parkinsonians and their families in the Dallas area.
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