|
LEARNING DISABILITIES
ASSOCIATION OF IOWA I am enclosing
membership dues of $30 for a ____ renewal or for a ____ new
membership. HOME ADDRESS_______________________________________________________________ CITY____________________________________ STATE__________ ZIP________________ HOME PHONE (_____)_________________ AEA______ EMAIL_________________________ Please check the one category that best describes your interest in learning disabilities: ___Parent ___Professional ___Student ___Other (Please specify)______________________ ****I would like to
support the goals and projects of LDA-IA. Enclosed is a donation of
$_______. Please make your check payable to LDA-IA and mail to: LDA-IA, 5665 Greendale Rd, Ste. D, Johnston, IA 50131 |
(.pdf format- opens with Adobe Reader)
OR
Join online at the Learning Disabilities Association of America website!