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Become a Member

Signing up with the Exhale Foundation lets us keep you informed of COPD developments.

If you are under 13, we must have your parents' permission before you sign up! Please direct your parent/guardian to this webpage and have them sign up for you, instead.

Becoming a member is totally free! By taking a moment to fill out your contact information, you'll sign up for the newsletter and automatically be registered to win one of our ongoing membership contests. Once you register, you're a part of our team and will be able and encouraged to contribute articles to the Exhale Foundation website.

Please note that you need to sign up separately for the Message Boards. In creating a separate sign up for the forum area, we decided that it would give you more freedom in selecting your own forum username (not necessarily based on your real name or e-mail address) and also afford you more control over the kind information you choose to give out in our forum area.

Salutation (Dr., Mr., Ms., etc.):

Name:

Address:

City:

US State or Canadian Province:

Zip or Postal Code

Outside of US/Canada, enter province:

Outside of US/Canada, enter country:

E-mail address:

Year of birth:

Gender:

Male    Female

COPD Condition:


If you don't have COPD, but are a caregiver to someone with COPD, enter "caregiver" in the box above. Otherwise, enter your COPD condition or "none."

Medications currently taken:

Year diagnosed:

Name of Specialist: