Update Your Membership

  • Member Details

  • Please indicate the type of membership for which you are registering.
  • Is this a mobile number?
  • Is this a mobile number?
  • Connection Details

  • Who in your life deals with MPS or ML? Please provide his/her name. If you are an adult with MPS or ML, please type your name.
  • Who else in your life deals with MPS or ML? Please provide his/her name.
  • Who else in your life deals with MPS or ML? Please provide his/her name.
  • How are you related to your connection? ( i.e. parent, sibling, etc.) If you are affected, please indicate self as your relation.
  • Please provide an approximate date of diagnosis.
  • Please provide an approximate date of diagnosis for your second connection.
  • Please provide an approximate date of diagnosis for your third connection.
  • Date of Birth of your first connection
  • Date of Birth of your second connection
  • Date of Birth of your third connection
  • If your connection has passed, please indicate the date of his or her death.
  • If your second connection has passed, please indicate the date of his or her death.
  • If your third connection has passed, please indicate the date of his or her death.
  • I would like to donate another amount.
  • By default, your donation will go to the areas most in need. If you would like to designate your gift to a specific category, please indicate that below. Additionally, if you would like to make this donation in honor or in memory of someone, please also indicate this below.
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For questions or concerns, please contact Katelyn Blackman.

Our Mission

The National MPS Society exists to cure, support and advocate for MPS and ML.

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