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The Twin Cities voice for people with hearing loss |
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To
join the HLAA TC Chapter, HLAA TC Chapter Address: City/State/Zip: Phone / TTY #: e-mail: |
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Membership
Type:
(Please Select One. All Memberships are annual and renewed on September 15th of each year) ___New Membership ___Renewal |
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($25) - Individual Membership
___ ($25) - Family Membership ___ ($25) - Friend of HLAA ___ ($50) - Professional Membership ___ ($10) - Newsletter Subscription |
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*NOTE:
National Membership is a separate membership with privileges and publications. |
For National HLAA Membership*
Please visit National's site for payment and membership details (www.hearingloss.org) |
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Please add up totals and mail this form along with your payment to the address listed at the top of this form. |
_________Total Enclosed |
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