BGIG serves as an educational and support forum. Our programs are targeted to improving

awareness of gluten intolerant conditions to the general public and food manufactures.

We also support medical research to improve diagnosis for and management of gluten intolerant

related conditions. Our primary focus however, is providing support for those individuals dealing

with a gluten intolerant lifestyle. If you are gluten intolerant or simply want to help someone who is -

we encourage your membership to help us continue in our mission.

Anyone can become a member of BGIG. Simply print out this form and fill in the information

requested below. Include this form with your check for $15 - made payable to BGIG and mail

to the above address.

    Name: _______________________________________ Phone _________________________ 

    Mailing Address:______________________________________________________________

    City:_________________________________________ Zip Code:_______________________

    Email: ______________________________________________________________________

 - For Office Use Only -

Paid on _________________    $15 - New Member        $10 - Renewal               Check No. ________