To become a new RESOLVE member or to renew your current membership, print and fill out this form and mail it to the following address with a check or money order payable to RESOLVE.
Send to:
RESOLVE, 7910 Woodmont Ave., Suite 1350
Bethesda, MD 20814
Name:_____________________________________
Spouse:____________________________________
Address:___________________________________
City:______________________________________
State:_________________ ZIP:_______________
Phone: (_____)____________________________
E-mail:___________________________________
____ I am a new resolve member
____ I am renewing my membership with RESOLVE
____ $55 - Basic Membership
____ $65 - Contributing Member
____ $75 - Supporting Member
____ $100 - Circle of Friends
____ $150 - Professional Member
How did you hear about RESOLVE?
I am making this $__________ donation in honor of_______________
__________________________________________________________
*Membership fees at all levels include the same RESOLVE services. Membership also include spouses.
*All contributions over the basic membership fee are tax deductible. Tax deductible donations may be make in honor of someone other than the subscriber (for births or adoption of a child, for example).
Why Join RESOLVE?
*Access to National and Michgan HelpLines
*Physician Referral Service - access to a List of surveyed
infertility specialists.
*List of Regional Art Clinics
*Member-to-Member Contact
*National and Michigan Newsletters (4 times per year)
*Monthly Support Groups
*Discounts on RESOLVE literature and events
*Lending library of books, articles, and tapes
*National Medical Counselor
