MICHIGAN POLIO NETWORK

Membership

The Michigan Polio Network, Inc.

is a tax exempt non-profit organization

with 501c3 status. Your contribution

is tax deductible as allowed by law

A REMINDER TO ALL MPN MEMBERS

On December 1, all active MPN Members will become PHI Members for the duration of the term of their current MPN memberships. If you wish to renew your MPN membership before the PHI transition date, YOUR RENEWAL CHECK MUST BE RECEIVED NO LATER THAN NOVEMBER 1 to allow time for processing before MPN ceases normal operations.

Starting on December 1, 2018 membership renewals will be handled by PHI.

Also note, after December 1, any donations or memorial gifts intended for MPN must be made instead to PHI at the following address:

Post-Polio Health International (PHI)
4207 Lindell Blvd., #110, Saint Louis, MO 63108-2930 USA

www.post-polio.org

CHECK THE MAILING LABEL ON THE BACK OF YOUR POLIO PERSPECTIVES ISSUE.

The expiration date of your membership is on the same line as your name. Your renewal check should be sent with the form below or from your Polio Perspectives when due. We do send out reminders for renewal but it is possible for you to renew your membership without our notice. If you are in need of sponsorship, please indicate that on your renewal.

Click the appropriate button below for a membership form or to change your address

Membership Form

Change of address

Donations

Will be used to support this website, outreach programs, the polio library and our excellent newsletter. Your contribution is tax deductible as allowed by law.

See details below:

You may print out and complete this form and mail it along with a check or money order payable to: Michigan Polio Network, Inc. Mail to: Michigan Polio Network, Inc. 1530 Fairholme Rd. Grosse Pointe Woods, MI 48236-2361 MICHIGAN RESIDENCY NOT REQUIRED FOR MEMBERSHIP YOU DO NOT HAVE TO BE A POLIO SURVIVOR TO JOIN OUR NETWORK

Our membership fees are as follows: One year - $15.00 Five Years - $65.00 Lifetime Membership - $150.00 Your membership includes a quarterly newsletter, use of our library, voting privileges as well as the networking and support from our membership. Join today! Please note: ALL ACTIVE CURRENT MPN MEMBERSHIPS AUTOMATICALLY TRANSITION TO PHI MEMBERSHIPS ON DECEMBER 1, 2018.
Name Address City State Zip Phone no.________________________________________________________ e-mail address______________________________________________________ Polio Survivor? (yes / no) Choose one type of membership : One Year $15.00 Five Year - $65.00 Lifetime Membership - $150.00 In addition to your membership fee, if you also wish to make a contribution to support the work of the Michigan Polio Network, Inc. designate your contribution amount enclosed $ . Thank You.

Change of Address Form In order to continue receiving your quarterly newsletter, please complete the form below and mail it to: Michigan Polio Network, Inc. c/o Timothy Brown 1530 Fairholme Grosse Pointe Woods, MI 48236 or send an e-mail to info@michiganpolionetwork.com Include the mailing label from your newsletter with your old address along with this form. Thank You. Name________________________________________________________________ New Address_________________________________________________________ City, State, Zip Code ____________________________________________________ New Phone No._______________________________________________________ Date new address is effective_____________________________________________

No warranties

This website is provided “as is” without any representations or warranties, express or implied. The Michigan Polio Network website providers make no representations or warranties in relation to this website or the information and materials provided on this website.

Without prejudice to the generality of the foregoing paragraph, the Michigan Polio Network website providers do not warrant that:

- this website will be constantly available, or available at all; or

- the information on this website is complete, true, accurate or non-misleading.

Nothing on this website constitutes, or is meant to constitute, advice of any kind. If you require advice in relation to any medical matter you should consult an appropriate professional.

Limitations of liability

The Michigan Polio Network website providers will not be liable to you (whether under the law of contract, the law of torts or otherwise) in relation to the contents of, or use of, or otherwise in connection with, this website:

- to the extent that the website is provided free-of-charge, for any direct loss;

- for any indirect, special or consequential loss; or

- for any business losses, loss of revenue, income, profits or anticipated savings, loss of contracts or business
relationships, loss of reputation or goodwill, or loss or corruption of information or data.

MICHIGAN POLIO
NETWORK, INC

POST POLIO RESOURCES

Membership

CHECK THE MAILING LABEL ON THE BACK OF YOUR POLIO PERSPECTIVES ISSUE.

MICHIGAN POLIONETWORK, INC

POST POLIO RESOURCES

Membership

CHECK THE MAILING LABEL ON THE BACK OF YOUR POLIO PERSPECTIVES ISSUE.

MICHIGAN POLIO
NETWORK, INC