The Pennsylvania Educational Network
for Eating Disorders

MEMBERSHIP AND DONATION INFORMATION


PENED relies on membership dues and donations to provide educational services, support groups, information and referrals for the treatment and prevention of eating disorders.  Your membership entitles you to a one-year subscription to FOOD FOR THOUGHT (our newsletter), reduced rates for workshops, and admission to any and all support groups sponsored by PENED.
 

_______ Individual     $25.00
_______ Family     $35.00
_______ Organizational/Professional  $50.00
_______ Sponsor    $100.00
_______ Hospital/Institution   $100.00
_______ Please accept my contribution of ________________
_______ Please accept my donation in memory/honor of   ___________________________

Date _________
Is this a renewal membership? _______
Name _________________________________________
Address __________________________________________
                __________________________________________
Phone _______________________
Email  _______________________

Please include a check or money order payable to:    
PENED
North Hills Village Mall
4801 McKnight Rd., RM 205 
Pittsburgh, Pennsylvania 15101

 

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