Greetings! Welcome to Positive Living for People with Fibromyalgia & OOS, your Friends and Caregivers.   We're bringing Information and Relaxation to You! Updated 15 January 2002

Donation Form
Studies and Research Form

All Financial Gifts Are Gratefully Appreciated to Further Knowledge of Fibromyalgia
and to Help People with Fibromyalgia, their Relatives and Caregivers in New Zealand.

Please Find Enclosed My Gift Towards "Positive Living" Continuing
Please Find Enclosed My Gift Towards Research For Fibromyalgia              
$



( Notwithstanding any required charges, A Donation is not necessary to take part in any research or studies,
nor is it necessary to participate, if you simply wish to donate to further knowledge of Fibromyalgia in New Zealand.)


All Those Contributing Towards Knowledge Through Research are Warmly Commended
for their Generous Contribution to the Future of Fibromyalgia and the People who Suffer.

I Would Like to Participate in the Following Studies & Research             Yes / No
P
lease contact me before any study is due to start and in the meantime, please keep me updated on progress.

Red Blood Cell Research For Fibromyalgia                                           Yes / No
T
his Research will be conducted by Dr Les Simpson of the "Red Blood Cell Research Trust"
For this study to proceed, we need to know of prospective volunteers beforehand.
The charge for the test is $38.00 and there are no ongoing charges. Please register your possible interest.

A Study For People Using Guaifenesin                                                 Yes / No
The Purpose of thie Study is to ascertain the progress of people in New Zealand using Guaifenesin
and to be able to supply doctors and all people with Fibro in New Zealand with information and knowledge.
When this study takes place, it will be conducted by a registered G.P. or Researcher.
We are activly searching for a qualified person at present. The start date is therefore uncertain just now.


Name


Street Address


Suburb and City or Town


Phone Number


Email Address


Your Donation is gratefully appreciated.     Thank you.            Receipts will be issued.

Print & Post to: The Editor, ‘Positive Living,’ P. O. Box 28-552, Remuera, Auckland 5


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