MCS-International.Org: Join Us - Registered Supporters Form

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Campaign Representatives Form

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Do you suffer from MCS?YesNo

If yes give details:

Specific Chemical Injury?YesNo

If yes give details:

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why-join do you want to join
MCS International?

Do you belong to any other organisations?YesNoI'd rather not say

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How long will you give us?3 years5 yearsUntil hell freezes over

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Representatives FAQ

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