Spina Bifida Association of Alabama Membership Form

We firmly believe that every form completed is another “voice” to help gain supporters, grants, and sponsors. There is no fee for membership. Each person who responds can draw more public and political attention to our mission to promote prevention of Spina Bifida through folic acid awareness while enhancing the lives of all currently affected. Please help us make a difference by completing and returning this information.

 
 
 
 






If you are a parent of a child with SB:
Child's name:
Child's Date of Birth:

If you are an adult with SB:
Your Date of Birth:






Donations are welcomed!

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