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(The membership year runs from January 1 through December 31. Any new member who joins after September 1, will have membership through the following year.)
I. APPLY FOR HGF MEMBERSHIP ONLINE:
A. Click on the Print-Friendly Membership Application
Requires Adobe Acrobat Reader, Version 7.0 or later. You can download the Adobe Acrobat Reader by clicking on icon above, next to hyperlink to the application.
Complete the application; then use the (a) Print button to make a copy for yourself; followed by (b) the Submit by E-Mail Button, to send the form to HGF as an attachment. There is room for a note in the body of the e-mail message.
B. Pay for HGF Membership Online: Follow the instructions below.
II. APPLY FOR HGF MEMBERSHIP WITH CHECK OR MONEY ORDER:
A. Complete online and print out the Print-Friendly Membership Application.
B. Mail the membership application and check or money order made payable to the "Human Growth Foundation" at the address below.
III. DOING IT THE HARD WAY (IF YOU MUST):
. Print this entire page; complete the membership application below in pen and ink; and, mail it (the entire page) with a check or money order made payable to the "HUMAN
Growth Foundation, at the address below.
| First Name: _______________________________ Last Name: _______________________ |
| Primary Occupation: _________________________________________________________ |
| Position Title: _______________________________________________________________ |
| Business: __________________________________________________________________ |
| Home Address: ______________________________________________________________ |
| City/State/Zip:________________________________________________________________ |
| Business Phone: (_____) ________-__________ Home Phone: (_____) _______ - ________ |
| E-Mail Address:______________________________________________________________ |
| Type of Membership: NEW______ RENEW______ (all contributions are tax deductible) |
Method of Payment: __ Check __ Money Order __ Credit Card
(Membership dues must be paid in U.S. currency) |
| __Family ($35) |
__ Institutional ($200) |
| __Supporting ($50) |
__ Donation Only ($_______ ) |
| __Donor ($100) |
__Century Club-personal ($1,000) |
| __Patron ($200) |
__Century Club-corporate ($1,500) |
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| If this is a gift membership, name and address of Donor: _____________________________ |
| __________________________________________________________________________ |
| Type of growth disorder which interests you:_____________________________________ |
| Optional: Your doctor's name and address:________________________________________ |
| __________________________________________________________________________ |
| Optional: Child's Name:______________________________________ DOB:_____________ |
| Optional: Diagnosis:___________________________________________________________ |
Please make check or money order payable to: "Human Growth Foundation"
Mail check or money order with the completed print version of Print Friendly Membership Application, or completed pen and ink applicastion (page) to:
Human Growth Foundation
997 Glen Cove Avenue # 5
Glen Head, N.Y. 11545
You can pay with PayPal or with a credit card through PayPal. All major credit cards are accepted. A PayPal account is not required.
Simply select a Membership type from the dropdown below and click on the "Pay Now" button for access to the PayPal and credit card options..
The Human Growth Foundation helps children and adults with disorders related to growth and growth hormone through education, research, support, and advocacy. Your tax deductible membership fee will help sustain the activities and programs supported by the Foundation.
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