Tourette Syndrome Association of Ohio

Membership

Become a member of National TSA - TSA of Ohio

Your membership or renewal is a joint National TSA-TSA of Ohio membership and entitles you to receive TSAO's and National TSA's newsletters and discounts on literature and conferences as well as special privileges from TSA of Ohio. Simply click on the link below to print out the form and fill it out. Mail with dues to TSA of Ohio, PO Box 28345, Columbus, OH 43228. Lifetime TSAO Members: Write in your TSAO lifetime member status on your national TSA dues statement to be considered a paid member.

Membership Form

TSA of Ohio - Membership Form

$_____ Dues $45 (or amount afforded)

Name ___________________________________________________________

Address ____________________________City/State/Zip ___________________

Name/DOB of TS patient _________________________________________

Relationship to person listed above _________________________________

If membership is for professional reason, list profession _________________

Information forwarded to Nat'l. TSA unless checked here ___

TSA of Ohio, PO Box 28345, Columbus, OH 43228