|
The Metropolitan Washington Association of the
Deaf-Blind (MWADB) is a social organization which meets monthly. Each member is
entitled to receive newsletters twice a year, the latest e-news, and discount rates
for social gatherings.
rNEW rRENEWAL
rCHANGE OF
ADDRESS
|
1 YEAR
|
2 YEARS
|
|
|
| r$15 - Individual |
r$26 - Individual |
| r$10 - Student |
r$18 - Student |
| r$10 - Senior (62 and over) |
r$18 - Senior |
| r$25 - Couple |
r$46 - Couple |
| rTax-deductible Donation (Thank you)
$________ |
Name(s):_____________________________________________
Address:_____________________________________________
City,
State, Zip+4:______________________________________
E-mail
address:_____________________ Fax #:(___)___-_____
Want on e-mail news list for announcements? Yes ___
No ___
Home Phone #: (___)___-____ Work Phone #:
(___)___-_____
Your Birthday for newsletter greeting
(month/day):__________
Newsletter Preference: rLarge
Print rBraille rE-mail
Make a check or money order payable to the order
of
MWADB and mail this form along with the payment to:
Eddie
Martinez Jr.
MWADB
Membership Coordinator
Gallaudet University
800 Florida Avenue NE #115
Washington, DC 20002
|
