Upcoming Events

View Full Calendar

   
Any questions about this site,
please contact webmaster

Illinois Association of the Deaf

Affiliate / Chapter Membership Form

One entry per organization.

Mail Payment to:
PO Box 1275
Oak Park, IL 60304

 

Contact Information
Organization *
Please let us know the name of your organization
Website *
Please let us know the website of your organization
Contact Person *
Please let us know your contact person's name
Title      
Invalid Input
Email *
Invalid Input
Address *
Please let us know your organization's address
City *
Please let us know your city
State *
Please let us know your state
Zip *
Please let us know your zip
Phone *
Please let us know your phone number
Phone Type
Invalid Input

Membership Status



Invalid Input
* If your membership has expired for three months or more

Affiliate / Chapter





Please let us know the type of affiliate registration

State-Wide Bulletin Newsletter
I would like to receive newsletter by:
Invalid Input

Organizational Contributions:
The IAD welcomes donations from affiliate organization. The IAD is a 501(c)(3) non-profit organization; all contributions are tax deductible to the extent allowed by law. Contributions may be directed towards specific program efforts of the IAD.

IAD Donations
Affiliate Organization would like to make a donation amount to support the following
(please enter your donation amount):
General Fund
Invalid Input
Miss Deaf Illinois Fund
Invalid Input
YLC Scholarship
Invalid Input
Conference Fund
Invalid Input
Senior Citizen Fund
Invalid Input
Legislative Fund
Invalid Input
KODA Fund
Invalid Input
Diversity Fund
Invalid Input
J.B. & Bea Davis Scholarship
Invalid Input
Francis L. Huffman Fund
Invalid Input
Youth Fund
Invalid Input
Total Donation Amount:
Invalid Input

Payment Information
Total Amount Payable to IAD:
Invalid Input
Invalid Input

Mail Payment to:
PO Box 1275
Oak Park, IL 60304