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Membership Form

Membership Information

You have selected the VIPOC membership level.

As a member, you become part of a network dedicated to supporting and empowering individuals of diverse backgrounds. Fill out the form below to gain access to exclusive resources, events, and opportunities. Together, we can create meaningful change and build a more inclusive future.
We also encourage you to read our bylaws for detailed guidelines and policies.

The price for membership is $0.00 now.

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More Information

Patient organization? Facebook groups? Individual? etc.

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i.e., meeting, support groups, walk, research, number of members etc.

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