• hoi_director@hemophiliaofiowa.org
  • 319.393.4007

2018 Membership Form

2018 Membership Form

Congratulations on the decision to become a member of Hemophilia of Iowa! Now you will be kept in the loop for what is happening in the community.

Fill out the form below:

Would you like to make a donation to Hemophilia of Iowa?

$20 would help offset the cost of print and marketing materials
$50 Will help send a family to Family Education Day where they have a chance to mingle with other affected families
$100 Helps fund an individual to travel to conferences where the knowledge gained will in return help our community
$200 will help a family attend Family Camp and the chance to meet other families in their same position
$500 will cover the entire cost for a child to attend Summer Camp giving them an opportunity to experience a true Summer Camp while nurses are on site

┬áBe one of the first 75 individuals to fill out the form and go to Hemophilia of Iowa’s Facebook page and like and share this photo for a chance to win a FREE airplane ride at the Bloody Brunch March 18th!

Bleeding Disorder T-Shirt is
sponsored by HPC Specialty RX and BriovaRx

Purchase your 2018 Bleeding Disorder t-shirt here, the order form closes soon so don’t miss out!

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