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Organization Membership
Organizational Membership and Donation Form
You can use the
PDF form
(PDF) or fill out the information below.
Join or Renew/Donate
NAD Org Membership
*
Non-Profit National
-
$ 300.00
Non-Profit State
-
$ 200.00
Non-Profit Local
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$ 200.00
Government Federal
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$ 300.00
Government State
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$ 200.00
Government Local
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$ 200.00
For-Profit National
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$ 2,000.00
For-Profit State
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$ 1,000.00
State Association
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$ 200.00
Donation
By making a tax-deductible donation to the NAD, you are supporting its work to protect the rights of the American deaf and hard of hearing community.
Total Amount
Email Address
*
New Organization
Organization Name
*
Email Address
*
Please use an email account that represents your organization. It can be the same as your email address above.
Organization Representative
Include name of organization representative for communication purposes.
First Name
*
Last Name
*
(President, Treasurer, etc)
Role with Organization
*
Please share your organization address if different than billing address.
Organization Street Address
City
State (Primary)
- none -
Alabama
Alaska
Alberta
American Samoa
Arizona
Arkansas
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
British Columbia
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New York
Newfoundland and Labrador
North Carolina
North Dakota
Northern Mariana Islands
Northwest Territories
Nova Scotia
Nunavut
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Prince Edward Island
Puerto Rico
Quebec
Rhode Island
Saskatchewan
South Carolina
South Dakota
Tennessee
Texas
United States Minor Outlying Islands
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Yukon Territory
Postal Code (Primary)