Get Involved with Sickle Cell Disease Association of America, Inc. Become a Member

Get Involved / Individual Membership

Individual Membership

Our Individual Members are the backbone of this network. By working with your local SCDAA Member Organization, you will be positioned to have a direct impact on the lives of Sickle Cell Disease consumers, learn more about the Disease, and share suggestions and concerns with a local and national network of patients, providers, educators, media, federal agencies, etc. SCDAA urges you to join as an Individual Member in order to make a lasting difference and to enjoy the benefits offered. Please click here for Membership Benefits.


Title
First Name*
Middle Inital
Last Name*
E-Mail Address*
Address*
Address 2
City*
State*
Zip*
Country*
Telephone* (xxx-xxx-xxxx)	Ext.
Comments

How did you hear about us?*
Who referred you to SCDAA?*
Have you contacted a local Sickle Cell Organization?*	Yes No \| If yes, which?
Are you interested in volunteering at a SCDAA member organization?* *	Yes No
What motivated you to become a Sickle Cell Disease Association of America Member?*
Local Chapter *	Please choose the SCDAA Member Organization location that is within 50 miles to you. If you are located within 50 miles of more than 1 organization, please choose which one you would like to be affiliated with. You will receive SCDAA national membership benefits, be notified of national events, and be included in your local organizationï¿½s endeavors. In order to assist your local organization in fulfilling its mission, they will receive a portion of your yearly membership dues.

Contribution*
Credit Card Type*
Credit Card Number*
Credit Card Expiration Date*
Credit Card CVV Number*