Membership Information
HELP US HELP YOU-JOIN TODAY!!
Learning Disabilities Association of Missouri
Yearly Fee $45 Supporting $50 Sustaining $75
Membership Application
Name ______________________________________________________
Mailing Address ______________________________________________
City/State/Zip ________________________________________________
Phone (Home) ________________________ (Office) ________________
E-mail ______________________________________________________
(Please check affiliation)
_____Parent_____Teacher_____Physician_____Therapist_____Consultant_____LD Adult_____Student_____Other
MasterCard/Visa accepted for membership:
MasterCard/Visa # _______________________________
Expiration Date ____________________
Dues and contributions are tax deductible.
Please return Membership Application to:
LDA of MO
P.O. Box 3303
Springfield, MO 65808
This web page is created and maintained by Donna Blevins, LDA of MO president. Last updated on
March 9, 2009
. Your comments and suggestions are welcome. Please contact us at LDA of MO with your comments and suggestions. Please send all correspondence to:
LDA of MO
P.O. Box 3303
Springfield, MO 65808
Phone: 417-864-5110
Fax: 417-864-7290
