MEMBERSHIP INFORMATION

Any person who desires to become a member of the United States Burn Support Organization should download the application form below.

Instructions for membership:

• Download and print Application Form.
• Complete and mail the form, along with the appropriate fee to:

  United States Burn Support Organization
  PO Box 26001
  Philadelphia, PA 19128

• If you have any questions about the Membership Application, please call (215) 473-2955 or E-mail usburnsupport@usburn.org

Click here to download the application as a Word file.

Click here to download the application as a PDF file.