Membership Form - Print this page
| Yes! I would like to join SA! My Membership fee/contribution is enclosed.
Organizational Member $ 100
Individual Member $ 10
Self-Advocate Member $ 0, please sign-up here and pay dues to your local SA group.
Additional Donation (Thank you!) $_______
Please make checks payable to Self-Advocacy.
Thank you for helping make our voices count!
ALSO – Our Mailing List needs your help: please fill-in the following information - thank you!
How do you wish to recieve mail from us? Email Standard Mail
No mail thank you (Remove my name)
Mailing list only (No Membership)
Update my info
Please Send Completed Form to:
Self-Advocacy Association of New York State, Inc.
Capital District DSO, Building 5
500 Balltown Road, Schenectady, NY 12304