PWCF Newsletter Application

Prader-Willi California Foundation
PWCF News

Newsletter Subscription Order Form

First Name:

Last Name:

Date:

Professional Title :

Organization:

Address:

Apt:

City:

State:

Zip +4:

Home Phone:

Work Phone :

Home Email:

Work Email :

Home Fax:

Work Fax :

Your relationship
to Individual with
PWS:

	Parent/Guardian		Sibling		Grandparent
	Aunt or Uncle		Family Friend		Supported Living Provider

Other:

Your Professional Affiliations/Areas of
Interest/Expertise:

Name of individual with PWS:

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Male Female

Are you a member of PWCF?	Yes No
	Please send me PWCF membership information

Are you a member of PWSA (USA)?	Yes No
	Please send me PWSA (USA) membership information

PWCF News is the quarterly newsletter of Prader-Willi California Foundation,
an affiliate of Prader-Willi Syndrome Association (USA).

The newsletter serves the Foundation’s mission to provide a state network of information,
advocacy and supportive services to expressly meet the needs of children and adults with PWS and their families.

The newsletter is a benefit of membership; members automatically receive the newsletter with their paid annual membership dues.

Annual Newsletter Subscription Rate is $25

You may print out this form and mail it to PWCF with your check, made payable to Prader-Willi California Foundation (PWCF), you may fax it and we will be bill you, or you may pay online.

Prader-Willi California Foundation
514 N. Prospect Avenue, Suite 110-LL
Redondo Beach, CA 90277
(310) 372-5053 • (800) 400-9994 (Within CA) • Fax (310) 372-4329
E-Mail: pwcf1@aol.com • Web: www.pwcf.org

Prader-Willi California Foundation is a 501(c)(3) tax exempt charitable organization.
Newsletter subscriptions are not tax deductible. Donations to PWCF are tax deductible as a charitable contribution.

Thank you for your Newsletter Subscription