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APPLICATION FORM

(Please PRINT before filing and sending)

Parents and teachers of Deaf Children, friends and advocates of the Deaf are welcome to join the RIAD.

YES!
I want to help the RIAD to continue to fight for equal rights and equal access for ALL Deaf and Hard of Hearing citizens of Rhode Island.

Name:_______________________________________
Address:_____________________________________
Phone:______________________________________________________Voice/TDD

Annual Dues:

Active Member (RI Residents): $15.00 ($25.00 couples)

Associate Member(Out of state): $12.00 ($20.00 Couples). Associate Member can become active Members by paying Active Member due.

Business/Organizational (Affiliates): $25.00

Membership Benefits:

Members will receive the National Association of the Deaf(NAD) monthly newspaper - The Broadcaster. Also, discounts on selected books ordered directly from the NAD may be available. Organizational or Affiliated members can use their stationery to show their affiliations with the Rhode Island Association of the Deaf.

Contributions/Donations

Contributions and donations from friends and supporters of the Rhode Island Association of the Deaf helps it to carry out most of its community programs and activities. Your support is appreciated!

RIAD Programs

Deaf Awareness Week Program: $______

John F. Spellman Deaf Services Center: $______

Legal Defense Fund: $______

Convention Fund: $______

Workshop Fund: $______

Others: $______

Make check payable to: Rhode Island Association of the Deaf. Mail to:

The Treasurer
Rhode Island Island Association of the Deaf, Inc.
P.O. Box 40853
Providence, RI 02940


The Rhode Island Association of the Deaf is a non-profit 501(c)(3) organization. Contributions are tax deductible to the extent allowable by law.
































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