Community Advocates Membership Form

Please print this form and mail with enclosed check to:

Community Advocates

814 S Westnedge Ave.

Kalamazoo, MI 49008-1162

First Name:

Last Name:

Phone Number:

E-mail Address:

Address:

Apt:

City:

State:

Zip:

Individual/Family - $25

Group/Organization - $30

Sustaining - over $500

Associate - $6 (I am a member of an Arc Association and would like to receive local mailings)

Contribution Amount: $

Please make checks payable to Community Advocates