Register As A Warrior
*Please note that Membership to Lupus The Butterfly Effect Foundation is R100. Membership will only be processed after proof of payment has been received.

**Your information will be used for research towards finding a cure for Lupus and will not be sold or divulged except to registered healthcare professionals.

Name & Surname *
Email Adress *
Cellphone Number *
Physical Address
ID Number *
Symptoms
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