טופס הצטרפות לעמותת פמפיגוס ישראל

אנא, מלא את פרטיך כדי שועד העמותה יוכל לשמור איתך על קשר. שים לב, חלק מהשאלות הן חובה (לידן כוכבית אדומה), אחרות הן בחירה.
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