Membership for PCCA The Pediatric Crohn's and Colitis Association is working to respond to the needs of IBD patients and their families. Through the combined efforts of parents, families and friends, we hope to make a difference in the world of children with IBD. If you wish to support out efforts, please print this form out, complete it, and send it to Pediatric Crohn's and Colitis Association, P.O. Box 188, Newton, MA 02468. Would your pediatric gastroenterologist or pediatrician like to join PCCA? Would your physician be willing to write an article for our newsletter, speak at a workshop or answer a question from our readers? If so, please contact us at 617-489-5854. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Enclosed is: $20.00 for annual Family Membership dues $50.00 of annual Physician Membership dues An additional contribution ____________________ Name: ___________________________________________________ Address: ______________________________________________________ City:________________ State:_____ Zip Code: _________ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - All members receive a copy of PCCA newsletters, brochures and information on upcoming programs. Thank you for your help and support.