NCAHF Membership Application

The old adage, "all that is necessary for evil to triumph is that good people do nothing" is particularly true when it comes to the social evils of health fraud, misinformation, and quackery. We invite you to become part of a growing constituency actively working against these problems. All members receive our bimonthly printed newsletter (NCAHF News) plus The Bulletin Board (which provides opportunities to become more actively involved). Members are also entitled to discounts on anti-quackery publications.

Anyone may join the NCAHF who supports the beliefs and purposes of the Council. Applications are subject to approval by the membership committee. To join, please complete this form and mail it to: National Council Against Health Fraud, Inc., 119 Foster Street, Building R, Second Floor, Peabody, MA 01960. If paying by credit card, this form can be faxed to (978) 532-9450. You can also download a PDF document that contains additional information and an application form. Note: the information requested below will be kept confidential and will not be released to any outside party.

____ Yes, I support NCAHF's beliefs and purposes and want to join.

Name _________________________________________________________________

Mailing address__________________________________________________________

City _______________________________________ State __________ Zip _________

Work phone ( ___ ) __________________ Home phone: ( ___ ) ___________________  

E-mail address _____________________________ Fax: ( ___ ) ___________________  

Occupation _____________________________

Specific interests _________________________________________________________

Special skills ____________________________________________________________

Signature (Individual Members Only) ________________________________________

Annual rates (membership includes newsletter):

_____  Newsletter subscription $15        _____  Library subscription $18

_____  Student membership* $15 (full-time students only; please verify)

_____  Regular membership $20            _____  Professional membership $30

_____  Supporting membership $100     _____  Patron membership $1,000

_____  Donation (deductable under IRS tax code 501(c)(3)

_____  My payment is enclosed.       _____ Please bill me.

_____  Please charge to my credit card: Type _________ Card # ____________________

            Name on card ____________________________ Expiration date: ____________

Make checks payable to National Council Against Health Fraud (no cash please)
Outside of USA: Please use credit card or money order or U.S. bank check, in U.S. dollars.