L.D.A. Membership Information
Application

Name ____________________________________________

Address__________________________________________

City ____________________________ Zip _________

Phone (H) _______________ (W) ___________________


� New Membership
� Annual Renewal
� Parent
� LD Adult
� LD Related Professional

Can You Volunteer?
� Newsletter
� Office
� Publicity
� Membership
� Fundraising
� Other

Please check the appropriate boxes
Please complete and return with a check for $30.00 to: LDA-CF 550 Eola Drive, Room 122 Orlando, Fl 32801

Your Membership Helps Fund Our Work
If you haven't done so already, now is the time to join us or renew your membership to the Learning Disability Association of Central Florida.

Benefits include:
Consultations with LDRC staff and volunteers
Free parent support groups
Invitations to meetings and workshops
Subscriptions to local, state, and national newsletters with up-to-date information


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