Membership Form

Chemical Injury Information Network
P.O. Box 301 White Sulphur Springs, MT 59645
406.547.2255 Voice - 406.547.2455 Fax

To become a member of CIIN and receive Our Toxic Times, please complete one of the following and return it with your tax-deductible donation in any amount to: CIIN, PO Box 301, White Sulphur Springs, MT 59645 USA.

Because of rising printing and postage costs, CIIN members in foreign countries who want to get their newsletter by mail will need to donate at least enough, in U.S. funds, to cover the cost of postage. Minimum donations will need to be: Canada: $16; Mexico: $19; all other countries: $33.

For those willing to get their newsletters via email (Acrobat PDF format), foreign CIIN membership will remain a donation in any amount.

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