Arizona Association of the Deaf, Inc Regular Membership Form

Security Lock  Select in the boxes then click PayPal button.       Regular Membership: New    Renewal        Membership Due:                      Please Select ===> Month/Year/Rate SEPT 2011 $24.00 OCT 2011 $23.00 NOV 2011 $22.00 DEC 2011 $21.00 JAN 2012 $20.00 FEB 2012 $19.00 MAR 2012 $18.00 APR 2012 $17.00 MAY 2012 $16.00 JUN 2012 $15.00 JUL 2012 $14.00 AUG 2012 $13.00 SEPT 2012 $12.00 OCT 2012 $11.00 NOV 2012 $10.00 DEC 2012 $9.00 JAN 2013 $8.00 FEB 2013 $7.00 MAR 2013 $6.00 APR 2013 $5.00 MAY 2013 $4.00 JUN 2013 $3.00 JUL 2013 $2.00 AUG 2013 $1.00 ASDB Alumni? Yes PDSD Alumni? Yes       Contribution: $ (The AzAD is a 501(c)(3) organization; all contributions are tax-deductible to the extent allowed by the law.) Thank you for supporting AzAD!