How to Join Survivorship

The rates for Survivorship membership are on a sliding scale based on ability to pay beginning from $75.00 to what you think you can afford.

We ask that health-care professionals contribute towards gift memberships.

As costs for mailing go up, we hope that some of you will be able to help out by increasing your membership contribution. If you cannot do so, you are welcome to continue at the present rates.

We regret that we are not able to provide services or include members under the age of 18.

Joining

1. First, pick a membership type. Regular members receive the Survivorship Journal  by regular mail (and Notes if they are requested). Internet members read both on our web site.

Both Internet and Regular Members choose a username and password so that they can use the Members’ Only section of the web site. Back issues of the Notes and Journals and past webinars are available in the Members’ Only Section.

2. Decide whether you want to pay by check, money order, or PayPal. PayPal accepts charge cards. If you want to pay using PayPal, please copy and fill out the form below, email it to info@survivorship.org, and then click here to make your payment.

If you want to pay by check or money order, print out the form below and send it with your payment (in U.S. funds) to:

NOTE: We are all volunteers, so please be patient. We will reply as soon as we can.

(To e-mail this to Survivorship, please cut and paste this form into your e-mail.)

Survivorship
C/O Karol Darsa
881 Alma Real Drive Ste 311
Pacific Palisades, CA 90272

Name ________________________________________________________

The username I would like to use for membership (please make this an anonymous one):

____________________________________________

Organization (if applicable) _______________________________________

City _________________________________________________________

State __________________

e-mail _______________________________________________________

Regular Membership: $__________ or Internet Membership $___________

Donation $_____________

Total enclosed $______________________

You may also e-mail the information on this form to info@survivorship.org