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JSEI Affiliates

JSEI Affiliates
Jules Stein Eye Institute, UCLA
100 Stein Plaza
Suite 3-219
Los Angeles, CA 90095
(310) 825-4148 Telephone
(310) 794-7781 Fax
affiliates@jsei.ucla.edu

 

How to Join JSEI Affiliates

Membership and Volunteer Response Form

The JSEI Affiliates enthusiastically welcomes new members and offers several plans to accommodate all levels of participation. If you would like more information on joining JSEI Affiliates as a member, contributor or a volunteer, please fill out the following form and hit "send". Someone will contact you with more information.

Name
Email
Address
Phone
Send me more info on:

$25.00 Senior, Student, Staff
$50.00 Regular Member
$50.00 Guest Member
$100.00 (or above) Benefactor Member
$1,000.00 Lifetime Patron (1-time fee)

Volunteer Member (pledge 10 hours annual service)
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