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BECOME A MEMBER + RENEW MEMBERSHIP

We would love for you to be a continuing part of our activities by completing the online membership application below.  Your membership dues help us support our website, reach new parents in the community, create printed materials, offset postage costs, and sponsor organization events. Membership is open to everyone!  You do not have to be related to or have any family members who have Down syndrome to become a member of DSAA. 

DSAA's membership dues are $25.00 per year per household.

Member Information:
Prefix
First Name *
Last Name *
Prefix
First Name *
Last Name *
Country
Address Line 1 *
City *
State/Province *
Postal Code *
Your connection to individual with Down syndrome:
If "Other", please enter connection below.
Prefix
First Name *
Last Name *
Gender:
Individual with Down syndrome lives with:
If "Other" please list below.
New Membership or Annual Renewal
Donation Amount
I would like to support DSAA with an additional tax-deductible donation of:
If "Other", please fill in amount below.
Credit Card Information
Visa MasterCard American Express Discover
Make this a monthly payment?
Make this a monthly payment?
Cover the fee associated with this online transaction?
Cover the fee associated with this online transaction?
Your total payment will be
Your credit balance will cover
Your credit card will be charged
Your bank account will be charged

To pay by check, please make checks payable to DSAA or Down Syndrome Association of Acadiana and send payment and Membership Form to:

Down Syndrome Association of Acadiana
P.O. Box 81323
Lafayette, LA 70598