Churg Strauss Syndrome Association -About CSSA

Membership in the Churg Strauss Syndrome Association is free, although donations are always gratefully accepted. Completing the membership form will place you on the CSSA mailing list, a one way communication from the CSSA to members to inform people about updates to the website, news of upcoming conferences and any other news pertaining to CSS related matters. Another benefit to becoming a member is that the CSSA plans to publish a quarterly newsletter in mid 2006 which will be sent automatically to people on the mailing list.

Please consider me a member of the CSSA and add my name to the CSSA's free mailing list.

Free Membership

Membership in Churg Strauss Syndrome Association is free for all those with an interest in Churg Strauss Syndrome. Completing this form will place you on the CSSA mailing list which will inform members of all CSS related news. You can unsubscribe from the mail list at any time. The list will never be shared with anyone outside the organization.

Please take this opportunity to fill out the Contact Form below. Although the form is rather long, the only mandatory information for mailing list purposes is your name and email address. This will help to ensure that you receive all the latest information available on CSS treatment and research efforts.

Contact information

First Name:

Last Name:

Address 1:

City or province:

__State:_

__Zip:_

Country:

Telephone:

Email:

Personal Information (optional)

I am interested in the CSSA because:

Are you fluent in any foreign language(s)?
If so, which one(s)?:

Which of the following is most important to you?:

	Medical Research
	Conferences
	Public Awareness
	Education

I am interested in the CSSA because:

Additional Comments:


	Required *

Donations

As the Churg Strauss Syndrome Association is operated and supported by volunteer efforts, donations are essential to help maintain the organization. Donations are used for the publication of brochures and other educational materials, website expenses, operational expenses and attendance at scientific conferences to help raise awareness of CSS and support research. The Churg Strauss Association has 501(c)(3) status and donations from USA citizens are tax deductible as allowed by law.

Donations may be made online through the Network for Good or by sending a check to the CSSA headquarters.

To donate on line:

To donate by mail:

Please make checks payable to: The CSS Association, Inc.
And mail to:

The Churg Strauss Syndrome Association
PO Box 671
Southampton, Ma 01073

Please make all checks payable to: The CSS Association, Inc.

If your donation is in honor or remembrance of a loved one please provide the following:
Name of person being honored or remembered
Name and address of person to be notified of your gift
Instructions about what you would like on the gift card- i.e., your name and a message.

The CSSA will send a personalized card to the person or family indicated, notifying them of your thoughtful donation. Any and all donations are greatly appreciated and will be used entirely to help the CSSA carry out its mission.

For international supporters

Network for Good, the organization that facilitates online donations, does not have the capability to process donations outside of the USA at this time. If you would like to help support the CSSA, you may do so either by snail mail with a check or money order, or you may make arrangements with Cindy Smoot, CSSA treasurer, for a transfer of funds from your bank directly to the CSSA account. Cindy's email is cindy@dibimail.com. We hope to have the ability to accept online donations from international supporters in late Spring 2006. Thank you.

Local contacts for CSS patients