Welcome to the New York City Chapter of The National Spinal Cord Injury Association.
Welcome....To The Greater NY Chapter Of The National Spinal Cord Injury Association....We meet on the 4th Tuesday of the month at Mt. Sinai Hospital, 1450 Madison Ave, 2nd floor dining room....Meetings start at 6:30 pm.
   

Membership Application Form

* Indicates Required Field



*First Name
*Last Name
*Address
Organization
*Telephone Number (Home)
Telephone Number (Work or Cell)
E-mail Address

If you are Spinal Cord Injured, the first year membership is FREE.
Afterwards, the annual yearly due will be 25.00.

*Annual Membership Fee:


You will be receiving an invoice by mail.
 
If you are Spinal Cord Injured
Level of Injury
Date Injured
Age When Injured
DOB
Rehab. Hospital Attended

Please Click here for a printable version of our membership application.

Click here to download the latest version of Adobe Acrobat Reader.Get Acrobat Reader Graphic with link to their download page

 

 

 
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