Join Fuchs’ Friends

Current Members: If you are a current member please do not fill out this form. For changes in your membership or other needs, you must write to the Message Board Moderator.

New Members: Please fill out and submit the application below.

Please Note:

  • We shall hold your name, street address, telephone number and email address in strictest confidence. Completion and submission of this form to our web site implicitly gives us your permission to utilize your other information, such as gender, age, location to develop demographics about Corneal Dystrophy. Need help, send us an email.
  • Your postal address may be used to send you important information.  Please ensure that your postal address is exact and correct.  If it is invalid it may affect your membership.
Please be sure to double check your email address. We cannot inform you of email address errors.
Optional for required additional addressing information.
Please enter your cell phone if you have one. This provides a way for us to send a text message to you if there is an issue with your membership.
(of the person who has Corneal_Dystrophy)
(of the person who has Corneal_Dystrophy