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You may print this page or use the Printable Form in PDF format.
The MSUD Family Support Group is a 501(c)(3) non-profit organization with no paid staff.
Annual Support Group membership fees and donations are used for expenses such as: funding a biennial Symposium for
families and health care providers, printing and providing updated information to those with MSUD and their
families, funding research, and developing educational material for the public.
Additional funds are needed for research in the fields of genetics, diet, related behaviors, on-going studies for
improved treatment and MSUD related biochemistry.
Enclosed is $________, a tax deductible donation to the MSUD Family Support Group.
Make checks payable to: MSUD Family Support Group.
Please mail completed form and donation to:
MSUD Family Support Group
Dave Bulcher, Treasurer
82 Ravine Rd.
Columbus, OH 43065
Name: _______________________________________________________
Mailing Address: _______________________________________________
City: ______________________________
State: ______
Zip: ___________
Country: ______________________________________________________
Phone (___)____________________
E-mail: _________________________
_____ Check here if you would like to receive the MSUD Newsletter
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