Massachusetts RehabACTion Network
174 Portland Street, Second Floor * Boston MA, 02114 * tel 617-720-2233 ext.274 * fax 617-357-4759

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An annual membership in MARAN is only $45 per person. Join by completing the enrollment form below andsubmitting it to MARAN along with your membership dues.


Your entire membership fee will be used by MARAN to cover operating expenses suchas the costs of printing/mailing alerts. MARAN is a non-profit organization.


You may complete this enrollment form and send it via e-mail, mailing your check for the membership dues to:


Massachusetts Rehabilitation Action Network
174 Portland Street
Boston, MA 02114


Upon receipt of your dues, we will process your request for membership.

Please fill out the questions below so we can contact you if more information is needed

Name

Title

Organization

Address

Address 2

City

State Zip

Telephone

Fax

TTY

e-mail Address

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