Online Membership Form

 

 

"Enhancing the quality of life for all individuals with learning disabilities and their families though advocacy, education, training, service and support of research."

Join the Learning Disabilities Association Network!

Fill out the Individual Membership Form below.

 

Go back to our section About Memberships.

 

Membership Information
  I am interested in the LDA as a:   *  
  Choose your member category from the list (based on information from the table below):   *  

Individual Member Information
  First Name:   *  
  Last Name:   *  
  Street Address:   *  
  Street Address (cont'd.):    
  City:   *  
  State:   *  
  Zip:   *  
  Home Phone:   *  
  Work Phone:    
  Fax:    
  Email:   *  
  Comments:    
Membership Agreement
  I understand that I will be billed by LDA for my membership:   *  
 

Click submit below to complete the process.

  

Thank you for your interest in the Learning Disabilities Association of Michigan.

Someone from our organization will contact you shortly. 
 
Want to pay now?

Please make all checks payable and mail to:
LDA of Michigan

 200 Museum Dr. Ste. 101

Lansing, Michigan 48933

Put the following in the memo field of your check:  Internet Membership Fees
 

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