Barb Wilkie's EHN Website
Last updated 2008

EHN Board President Barb Wilkie was very ill from chemically-induced kidney disease for several years. She passed away May 31, 2011. EHN presents this site both as a tribute and as valuable information. Many links and references will be out of date but Barb's research holds up over time. We will be transferring the site page by page, with updated details, to EHN's main site. If you would like to reach an EHN staff person, please contact us directly.

Environmental
Health
Network

EHN [of California]
P.O. Box 1155
Larkspur, California, 94977-0074
Support and Information Line
(SAIL) 415.541.5075
A 501 (c) (3) non profit agency.
Membership / Donation Form

 

EHN is a small organization, staffed by volunteers who are dedicated individuals who also live and work with EI/MCS.
We distribute information at tabling events, and engage in advocacy on behalf of chemically and electromagnetically injured.
Unfortunately, we are not yet equipped to handle membership orders electronically.

EHN is a 501(c)(3) nonprofit organization.
Our federal tax ID number is 94-3072515.

When, publishing our newsletter, the first $18 of your membership is not tax deductible.
(As we are in hiatus, at this time, your entire donation is tax-deductible.)
When we again publish, any amount you contribute above that $18 will be tax deductible.

Please print when filling out the form. Thank you.

I want to join the Environmental Health Network (EHN) [of California]. Enclosed are my annual dues of:

   __$15 Low Income/Disability     __$25 Basic     __$50 Professional

I am pleased to make a tax-deductible donation $__________________


Please accept my contribution to your Annual Fund campaign $__________________


Enclosed is a grant of $______________ to help offset the expenses associated with MCS advocacy of board and/or advisory board members.


My name _____________________________________________________________________


Address ______________________________________________________________________


City/state/full ZIP ______________________________________________________________


Phone __________________________________________________________


E-mail ___________________________________________________________


Date ___________________________________________________________

 


 

 



Make the check payable to EHN (do NOT send cash), and mail the form to:

EHN, PO Box 1155, Larkspur, CA 94977-1155




GIFT SUBSCRIPTION

I want to make a donation of a gift membership to go to the person named below.

   __$15 Low Income/Disability     __$25 Basic     __$50 Professional

 

Recipient's name __________________________________________________________________


Address _________________________________________________________________________


City/state/full ZIP _________________________________________________________________


Phone ___________________________________________________________


E-mail ___________________________________________________________

 


My name ___________________________________________________________________________


Address ___________________________________________________________________________


City/state/full ZIP ___________________________________________________________________


Phone __________________________________________________________


E-mail ___________________________________________________________


Date _____________________________________________________________



Make the check payable to EHN (do NOT send cash), and mail the form to:

EHN, PO Box 1155, Larkspur, CA 94977-1155




TRIBUTE


In honor of _______________________________________________________________________.


In memory of _____________________________________________________________________.


Please accept my donation in the amount of $__________________.


Please notify: ___________________________________________________________________


Address ________________________________________________________________________


City/state/full ZIP ________________________________________________________________


Phone __________________________________________________________


E-mail ___________________________________________________________

 


My name ________________________________________________________________________

Address ________________________________________________________________________

City/state/full ZIP _______________________________________________________________

Phone __________________________________________________________

E-mail ___________________________________________________________

Date ____________________________________

 

 

 

Make the check payable to EHN (do NOT send cash), and mail the form to:

EHN, PO Box 1155, Larkspur, CA 94977-1155

 

 



Top of form
Return to EHN's homepage -- new domain name is ehnca.org
http://ehnca.org

Return to Barb Wilkie's homepage
http://ehnca.org/www/

Updated: 7/1/2010

The Environmental Health Network (EHN) [of California], Membership/Donation form.
The URL of this page is:
http://ehnca.org/ehnmemor.htm


Barb Wilkie's EHN Website, last updated 2008. For more current information, please go to EHN's main site.