Membership Application

• The Kabuki Journal newsletter twice per year
• The Family Directory once per year and sent by email (if you have chosen to be a part of this listing)
• Periodic updates from KSN on latest happenings.

Please make check or money order payable to:

Kabuki Syndrome Network
8060 Struthers Cr.
Regina, SK
S4Y 1J3
Canada

Membership ____$20 Canadian or US Funds

________________Additional Donation (Tax receipt available for Canadian donations)

Families outside of Canada or the U.S. please send equivalent of Canadian or U.S. Funds.

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