FOPonline Enrollment Form

Participation in the FOPonline newsgroup is open to IFOPA members who have paid their annual dues, as well as people afflicted with FOP, their families, medical professionals with an affiliation to someone with FOP and people with personal connections to someone with FOP.

If you are an IFOPA member afflicted with FOP, or an immediate relative, and you wish to request a waiver of the IFOPA membership dues because of financial difficulties, please check the appropriate box below and a member of our staff will contact you via email.

Note: Media is restricted from participating in the group.

To enroll in the FOPonline email newsgroup, please fill out the form below. If you have any question, contact the IFOPA via email at: together@ifopa.org.

Note: FOPonline is conducted in English. If you speak Portuguese, please email sosfop@uol.com.br for information on joining FOPbrasil. If you speak Spanish, please email frobert@mail.fsoc.uba.ar for information on joining FOPlatinoamerica.

IMPORTANT:
Before joining, please read the FOPonline guidelines.

For an overview on FOPonline, please click here.

FOPonline Enrollment Form

Mr. Ms. Mrs.
Name:
If minor, state parents' names:
Address:
City:  
State:
Country:
Zip Code:
Telephone:
E-mail:
   
I am a person with FOP who has paid his/her IFOPA membership dues
I am a person with FOP and request a waiver of the IFOPA membership dues because of financial difficulties
   
I am an immediate family member of a person with FOP who paid his/her IFOPA membership dues
I am an immediate family member of a person with FOP and request a waiver of the IFOPA membership dues because of financial difficulties
  My affiliation to person with FOP is: 
 
   
A medical professional who has paid his/her IFOPA membership dues and is connected to a person with FOP
  My affiliation to person with FOP is: 
 
   
A person with some other personal connection to someone with FOP and who has paid his/her IFOPA membership dues
  My affiliation to person with FOP is:
 




 


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International FOP Association · PO Box 196217 · Winter Springs, FL 32719-6217
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