| Dart Membership/Donation Form | |||
| Name: | _________________________________________________________ | ||
| Business: | _________________________________________________________ | ||
| Address: | _________________________________________________________ | ||
| Phone: | _________________________________________________________ | ||
| Check Appropriate Box | |||
| I would like to help DART to serve people with disabilities. Here is my donation: | |||
| [ ] $100 | [ ] $75 | [ ] $50 | [ ] $_____ |
| [ ] Here is my DART Membership fee (annual memberships include these and other benefits: Membership in Arc-California and Arc-U.S., MasterCard, pharmacy service, newletter, and legislative advocacy). | |||
| [ ] $1,000 Lifetime | [ ] $500 Patron | [ ] $365 365 Club | [ ] $250 Business / Corporate |
| [ ] $100 Sustaining | [ ] $40 Family | [ ] $25 Individual | [ ] $10 Person with disabilities |
| [ ] I am willing to write letters to support the interests of persons with developmental disabilities | |||
| [ ] Add my name to your mailing list | [ ] I would like to volunteer | ||
| Please make checks payable to DART | |||
| Return to DART, 201 E. Ridgecrest Blvd., Ridgecrest CA 93555 | |||
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Area Resources & Training 201 East Ridgecrest Blvd. Ridgecrest, CA 93555 Tel No (760) 375-9787 Fax (760) 375-1288 E-mail: dart@dartontarget.org |
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