Subscribe To Our Email Mailing List. Pay Annual Dues.
Complete and Mail This Form with your dues to:
PPOA – in care of Harlow Perrigo
1824 N Royer St.
Colorado Springs, CO 80907
Make checks payable to :
PIKES PEAK OSTOMY ASSOCIATION or PPOA
Annual dues are $12.00 and are due in October. *
Name _______________________________________________
Address _______________________________________________
_______________________________________________
Street, PO Box, City, State and Zip Code
Phone Number (_________) __________ ─ ___________
E-mail Address ______________________________________________
Date___________________________________________