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AVRF Guestbook

Please sign our guestbook. The information entered will be used solely to email updates of AVRF Seminars and other events. All information entered is kept strictly confidential and for AVRF updates only. If you have a question, you can use this form to contact the AVRF. Thank you.

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AVRF Guestbook

First Name(*)
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Street Address(*)
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Phone
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Email(*)
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Do You or an Immediate Family Member Have Vitiligo?
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What is your child's name?
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What is your child's age?
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By joining our mailing list (at no cost to you) this will allow the American Vitiligo to keep you updated on all events, etc. You must answer this request in order for your membership will be valid. Thank you on behalf of the AVRF.

By submitting this form you are authorizing AVRF to send you our newsletter via email.(*)

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By signing our guestbook/joining the AVRF your membership is gifted to you. You are under no obligation for any fee. If you wish to make a tax-deductable donation please click here. Your monetary support is greatly appreciated. Please update your email whenever changes occur so we can keep your membership up-to-date.

Just one more question before your comments are submitted.

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