Join MGAB and become a member Join our Membership Together we are stronger 1. Title Title (Required) Mr. Mrs. Miss. Ms. 2. First Name 3. Surname 4. Address Line 1 5. Address Line 2 6. Town / City 7. Country 8. Post Code 9. Birth Date: 10. Email Address 11. Telephone No 12. Mobile No 13. Occupation 14. If Retired, previous Occupation 15. Do you have Myasthenia Gravis Yes No 16. If you have MG, what type is it? Select One OCULAR Myasthenia Gravis GENERALIZED Myasthenia Gravis 17. Name of attending Physician 18. How did you hear about the Myasthenia Gravis Association of Barbados? 19. Do you have any Special Talents? 20. Message / Comments Send
