Membership in the Orange County Learning Disabilities Association

Annual dues: Full Membership - $45.00 includes local, state and national newsletters; Local Membership - $15.00 includes local group information only. For membership purposes, our year is from November to November. Dues and other contributions are deductible as 501(c)(3)charitable contributions for tax purposes.

Please fill-in this form then print the completed webpage and mail it with a check to the address below. Thank you for joining.

Name:

Title:

(Ph.D., M.D., etc.)

Address:

City:

State:

Zip:

Home Phone:

Work Phone:

E-Mail:

Would you like to receive e-mail messages from us in the future? Yes No

Occupation:

How did you learn about the Learning Disabilities Association?

What do you expect to get from the Learning Disabilities Association?

The quality of every volunteer organization reflects the efforts of it membership.
Are you interested in volunteering your time? Yes No

I wish to apply for membership in the Learning Disabilities Association

Signature: Date:

$45.00 for Full Membership $15.00 for Local Membership

Make check payable to OC LDA.

Mail application and check to:

Orange County Learning Disabilities Association
P.O. Box 25772
Santa Ana, CA 92799-5772

For membership by credit card, please see our state office website, www.LDACA.org. Click on Join LDA..