PFF Daughters Membership Application

Thank you for your interest in membership in PFF Daughters. Members of PFF Daughters join together to use their collective voice to increase awareness about PF, advocate for improved care for people with PF, and raise support for continued research efforts. Membership in PFF Daughters is open to anyone affected by pulmonary fibrosis—past, present and future.

In order to become a member of PFF Daughters, we ask members to agree to fulfill the following responsibilities of membership.

- Support the PFF by raising $500 each year, an amount you can contribute or raise from your friends, family, or business associates. The funds raised will be used to improve the lives of the hundreds of thousands of people impacted by pulmonary fibrosis each year. Of course, the Foundation will support your efforts with various resources to ensure your success!

- Help the PFF raise awareness during Global Pulmonary Fibrosis Awareness Month in September.

- If possible, attend at least one PFF-sponsored event such as a Team PFF event, the PFF Summit, Broadway Belts for PFF!, or a PFF Care Center Network patient education event.

Please contact Kate Gates at kgates@pulmonaryfibrosis.org or 312.224.9820 with any questions about the application process.

Question Title

* 1. Contact Information

Name *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number

Question Title

* 2. What is your primary role in the PF community? Please choose all that apply.

Patient

Caregiver of PF patient, past or present

Spouse of PF patient, past or present

Child of PF patient, past or present

Sibling of PF patient, past or present

Other relative of PF patient, past or present

Friend of PF patient, past or present

Health care professional

Other interested party (please specify)