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This subscription form is for subscribers from OUTSIDE of the Continental United States, Canada and Mexico.  If you live in the United States, Canada or Mexico, please refer to the USA SUBSCRIPTION FORM and follow the directions provided.

Please read all directions carefully:

REQUIRED: 
Your name and your email address. 

OPTIONAL: 
(1)  If you represent a support group, business, educational facility, etc., please include that in the address block, even if you choose not to include your actual address. 
(2)  If you have a title (physician, therapist, president, leader, etc) feel free to include that in your information and it will be recognized.
(3)  If you are a polio survivor and would like to share a bit of your polio history (such as when and where you contracted polio), we would appreciate it.  Names are held in strict confidence.  Your information will help us to better understand the trends of polio and post-polio syndrome.

We thank you for subscribing.  Upon receipt of this email we will send you a link to our download page where you can read or download the latest issue of the Polio Post News.  We publish six issues a year and you will receive an email from us each time with a link to the download page (we change the link for each issue).  While we don't mind a bit if you copy our newsletter IN ITS ENTIRETY, we ask that you not share the link with others.  If you would like to reproduce any article in the Polio Post News, please contact Carolyn Raville for permission.

Steve McMahan
Web Administrator
North Central Florida Post-Polio Support Group

INTERNATIONAL SUBSCRIPTION FORM


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