Become a Member
If you are interested in becoming a DSANI member, please print out the form linked below, fill it out, and send it to the address specified.
Download Membership Form
or join online by filling the form below!
after you fill out the form you can use a credit card to pay or mail your payment to our office
Street Address:
City:
State:
Zip:
County:
If you do not wish to have your name published in the DSANI Directory, please check the following on the right:
If you are a parent, please complete the following information below on your child(ren)
Name Date of Birth Has Down Syndrome
Please choose type of Membership:
I would like to become a NEW MEMBER of DSANI (membership fee: $10 per year) My child with Down syndrome is less than 1 year old. FREE membership for the first year. I would like to RENEW my/our membership with DSANI (membership fee: $10 per year) Scholarship requested due to financial hardship
please select how many years of membership: 1 year 2 years 3 years 4 years 5 years
Opportunities for Giving (optional)
I/we wish to support the Down Syndrome Association of Northeast Indiana with the additional tax-deductible contribution (as allowed by law) checked below:
$25 $50 $75 $100 $200 $500 $750 $1000
other $
Opportunities for Involvement (optional)
I would be interested in serving on the following volunteer committees:
Programs
Newsletter
Fundraising/Buddy Walk
Outreach Committee
Other