PMSF Membership_English

New Member Registration

Instructions:

Please complete the form fields below. Required fields are mared with an (*).

If you are registering both parents/caregivers:

  • You and your spouse share a last name and address, please put both names in the First Name box.

EXAMPLE:

First Name: Jack and Jane
Last Name: Anderson

You may add a secondary email address.

  • If you have different last names but same addresses, please fill out the Name(2) fields.
  • Different addresses require separate registrations.

For International addresses:

Use “State/Province” for US addresses. International addresses, use “County or Village” field.

Country/Region:

Please use the drop down box to indicate your country and region, if you can’t find one that applies to you check “Don’t know/Not Listed” and we will work to get the right information into your record.

Online Forms Powered by DonorSnap

SaveSave

SaveSave

PMSF | Phelan-McDermid Syndrome Foundation