Se Habla Espaņol
Contact Us
Membership
Links
Privacy Practices
LDA State Affiliates
LDA of WNY Membership Application Form
FIRST NAME:
LAST NAME:
ADDRESS:
CITY, STATE & ZIP:
PHONE:
E-MAIL:
FAMILY RATE $ 50.00
PROFESSIONAL RATE $ 100.00
ORGANIZATIONAL RATE $ 400.00
Please return this form with payment to:
LDANYS 1190 Troy-Schenectady Rd. Latham, NY 12110
Organizational members please list up to 4 additional contacts.
Membership and donations are tax deductible; receipts will be forwarded with your 'LDA Membership Card'
THANK YOU FOR YOUR SUPPORT
Learning Disabilities Association of WNY 2555 Elmwood Avenue Kenmore, New York 14217
716.874.7200 or 800.250.5031 e-mail: information@ldaofwny.org