Learning Disabilities Association

Membership Form

If you would like to become a member of the Learning Disabilities Association of Oregon (which includes a concurrent
membership in the Learning Disabilities Association of America), please print this form, complete the form, and mail it with
a check for $30 to the address below:

Please enroll me as a member of the Learning Disabilities Association.

Your Name:  ___________________________________________________

Street Address or P. O. Box:  ______________________________________

City:  ____________________   State:  __________   Zip Code:  _________

Phone:  ____________________                    E-Mail:  __________________

Annual membership is $30.  This covers membership in both the national Learning Disabilities Association of America
and the state Learning Disabilities Association of Oregon.  Please make checks payable to LDA of Oregon.

If you are interested in participating in the activities of the committees or other activities of the Learning Disabilities
Association of Oregon, please check below:

The Learning Disabilities Association is a non-profit organization. The Association's financial support comes from
membership dues, publications, proceeds from conferences, grants, and donations.  LDA is a volunteer effort on all
levels.  The Association's policies are determined by elected officers and a Board of Directors comprised of parents,
teachers, and individuals with learning disabilities.  Contributions to LDA are tax-deductible.

Learning Disabilities Association of Oregon
P. O. Box 34
Marylhurst, OR  97036
Phone:  (503) 968-0140

Return to the Learning Disabilites Association of Oregon Home Page