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VOR

836 S. Arlington Heights Rd., #351    Elk Grove Village, IL  60007    

Voice  (877) 399-4VOR    Fax (847) 258-5273 

By joining Voice of the Retarded you help support the widest possible range of living, learning and social options for all people with mental retardation . Your membership allows us to continue to educate our lawmakers and elected representatives and advocate for your relatives and loved ones in a manner consistent with your  wishes.  We are the only national organization dedicated to supporting the full array of choice, but we can't do it without you!

We are a national 501(c)(3) organization governed by a volunteer board of directors and funded solely by dues and donations. Please join our national network of choice advocates today. Your tax-deductible dues and contributions will greatly assist in VOR's national advocacy. VOR accepts credit card (by e-mail, fax or mail), checks or cash.

Thank you for your support!

VOR will never sell, distribute or otherwise share our members' personal information, including all contact information, with any outside entity or individual. VOR cannot guarantee total security with regard to the transmission of credit card information via the web.  For more details, please see the Privacy Statement. You can also join by using the printer friendly version of this form to fax or mail your membership form.

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To join or contribute:

 

$25 per year per individual; $150 per year per family organization; or $200 per year per provider/professional organization.

We depend on your generous extra donations! You may pay by check or credit card.

 

Send completed form with payment to: 

 

VOR

836 S. Arlington Heights Rd., #351

847-258-5273 fax (for credit card payments)

Name: _____________________________________________________________

Address: ____________________________________________________________

City: _______________________________________________________________

State: __________________ Zip _________________________________________

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If paying by credit card, please provide the following information:

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Amount to charge to card:
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_____ Master Card
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Expiration Date: __________________________________

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THANK YOU FOR YOUR SUPPORT!!!

© 2003 - Voice of the Retarded

VOR * 836 S. Arlington Heights Rd., #351 * Elk Grove Village, Illinois * 60007

877-399-4VOR ph. * 847-258-5273 fax * tamie327@hotmail.com