Text Box:   Membership Form Your dues are VERY IMPORTANT as they are a substantial source of the income allowing NSTA to continue.  Membership dues pay for: the 1-800 support line, email support, publishing of the ST Quarterly magazine, public service announcements on TV, annual symposium, NSTA website, NSTA message forum, information packet requests, medical awareness mailings, and research. FOR MORE INFORMATION,  CALL NSTA  AT 1-800-487-8385                General Membership $30.00                 Donor $50.00                Patron $100.00                                       Sponsor $500.00  If you would like to pay for more than one year’s membership, we’re able to reduce your dues by $5.00 for each year you pay in advance.  Please subtract the appropriate amount from your check. Members outside the USA, please add $10.00 to help cover additional costs of postage. Send your check or money order made out to NSTA (sorry, but we are unable to accept credit cards):  National Spasmodic Torticollis Association Orange Coast Memorial Medical Center 9920 Talbert Avenue Fountain Valley, CA 92708 - - - - - - - - - - - - - CUT HERE - - - - - - - - - - - - - -- Enclosed is my check for $ _________________  Name:     ______________________________________________________ Address: _______________________________City:  __________________  State: ______  Zip/Postal Code: __________  Country:    ________________ Telephone:   ______________________E-mail:     ______________________ Spreading Knowledge· Supporting People with ST· Encouraging Research