Home   What's New   Milestones to Cure   SCS Support Record   Stand-N-Go Units   Membership App   Data & Referral   Contact Us   SCS Membership Application Form U.S. Yearly Membership $30.00 - All Foreign Subscriptions $45.00 (U.S.) NAME - Last_______________First_____________Middle____BIRTH DATE_______ ADDRESS_________________________________________INJURY DATE________ ________________________________________________INJURY LEVEL________ CITY______________________STATE________________COUNTRY____________ ZIP CODE____________ - ________ PHONE ___ ( _____ ) - ______ - ___________ [__]-New Member [__]-Family Member of Injured[__]-Spinal Cord Injured [__]-Friend of Injured [__]-Gift Subscription[__]-Subscription Renewal Please send this application form with check to: SPINAL CORD SOCIETY 19051 County Highway 1 Fergus Falls, Minnesota 56537-7609 As a member of SPINAL CORD SOCIETY you are supporting spinal cord research and will be updated monthly on its progress through the SCS newsletter. (MEMBERSHIPS or DONATIONS are TAX DEDUCTIBLE) Copyright © SCS - All Rights Reserved