CHROMOSOME 22 CENTRAL 
SUPPORT FOR
ALL CHROMOSOME 22 RELATED DISORDERS 

We are all about connecting! 
Click here for an online membership form to JOIN US!
 
Registered members receive our newsletter and can choose to be listed in our parent registry.

C22C is a parent driven group with more than 1000 members in 45+ countries. 

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Chromosome 22 Central Inc. is a registered Canadian Non-Profit Organization 
and Registered Charity BN# 86009 3665 RR0001, and a Registered US Corporation with Non-Profit Status


C22C Membership Form

Membership fees are voluntary only - but help us keep operating!

US/CANADIAN FAMILIES: 1 year/$15, 2 years/$27, 3 years/$35

PROFESSIONALS and INTERNATIONAL FAMILIES: 1 year/$18, 2 years/$34, 3 years/$45  

Further donations are gratefully accepted.    Please feel free to submit a narrative and/or photo of your child to be featured in a future newsletter.

Please note this is a free online form service provided by Responsomatic, and is advertising supported. Please complete with the understanding that the Internet is not 100% secure. Only include information you feel comfortable sharing. 

DO NOT INCLUDE ANY CREDIT CARD INFORMATION

Name:
Email Address:
Address and telephone number  you may confirm this information privately later if you leave blank)
I HAVE READ THE NOTICE OF PRIVACY RIGHTS AND UNDERSTAND THE POLICIES OF C22C INC. REGARDING HOW MY CONFIDENTIAL INFORMATION WILL BE HANDLED

Yes
No

Child's Name
Child's Date of Birth
Diagnosis and/or karyotype, tell us something about your child
I would like my name and contact information added to C22C's family database for the purposes of networking with other members, and agree that this information can be shared with them.

yes
no

I would like to have my information shared in an upcoming newsletter. (Only first names, geographic location used)

yes
no

Tellus something about your child/family that you would like to share with others in an upcoming newsletter
There are currently studies underway for many chromosome 22 disorders. Would you like to be contacted by a research facility if a study is underway for your child's disorder? Your name may be forwarded to researchers studying your/your child's specific

yes
no

By submitting this form you agree that the information you have provided is true to the best of your knowledge and you are agreeing to share this information with other members as indicated above.  

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HEAD OFFICE - for ALL inquiries: Chromosome 22 Central, c/o Stephanie St-Pierre, 338 Spruce Street North, Timmins, Ontario, Canada P4N 6N5 tel: (705) 268-3099, EMAIL:  steph.stpierre@gmail.com

  US Head Office - for US donations: Chromosome 22 Central, c/o Murney Rinholm, 7108 Partinwood Drive, Fuquay-Varina, North Carolina, 27526  USA, tel (919) 567-8167, EMAIL: bgr@nc.rr.com

  Latin America / Spanish inquiries - Laura Munoz, Robinson Crusoe 1209, Las Condes - Santiago, Chile tel: 02-3251262 EMAIL: lauramuno@hotmail.com