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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.
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
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