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PRINT AND MAIL THE FORM WITH PAYMENT TO:

DOWN SYNDROME SOCIETY OF RI, 99 Bald Hill Road, Cranston, RI 02920

 
 Name  
 Agency (if applicable)  
 Street address  
 Apt., Suite or Bldg. #  
 Town  
 State  
 Zip code  
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 Phone Number  

I WOULD LIKE TO BECOME A MEMBER
   Individual/Family Membership  $25
   Professional  $30
   Contributor  $50+
   Sponsor  $100+
   Sustainer  $250+
   Benefactor  $500+
   President's Club  $1,000+
   Friend $ 

 I WOULD LIKE TO MAKE A DONATION
   I would like to make a donation in the amount of:

 PAYMENT METHOD:
   Enclosed is my check for:
  Please Note: Due to the increase in bank fees we are no longer able to accept any credit cards.  We apologize for any inconvenience this may cause. 

PRINT OUT THIS FORM AND MAIL IT TO:
Down Syndrome Society of RI
99 Bald Hill Road, Cranston, RI 02920


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Down Syndrome Society of Rhode Island
99 Bald Hill Road, Cranston, RI 02920
Phone: (401) 463-5751. Fax: 463-5337. For TDD use RI Relay 1-800-745-5555.