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*Diabetes Forecast single Issue Price $4.99. 75% of dues are designated for your
subscription. Membership dues are not deductible for Federal income tax purposes,
as a charitable donation. Offer good for new members only. Offer good in U.S. only.
If you prefer to mail this form with payment, please mail to:
American Diabetes Association
P.O. Box 1643
Merrifield, VA 22116-1643
For questions regarding your subscription, please call 1-800-806-7801 or 1-818-487-2001
between 5am and 5pm Pacific. Fax: 1-818-487-4550. Email:
. Please include your Member ID in any correspondence.