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This form is for National or International Organization membership in the COPD Resource Network.

$250 Annual Fee
COPD Resource Network Members will receive our newsletter
$1,000 Supporter Annual Fee
COPD Resource Network Supporters will receive a copy of our newsletter and our Resource Directory when it becomes available.

Please provide the following contact information:

Name and email address are all that we require, however the other information will help us to serve our membership more effectively.

First Name
Last Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
E-mail

Please fill out the form, print it and mail with
your check made out to NECA.

Send form and check to the following address: 

COPD Resource Network Membership
2425 Ridgecrest Dr. SE
Albuquerque, NM 87108-5127

If you would like to make a donation to NECA click here.
NECA is a 501 3c not-for-profit corporation and donations are tax deductable.

Web site maintained by Lovelace Respiratory Research Institute
Send email to with questions or comments about this web site.
Last modified: 07/19/04