[acb-diabetics] membership renewal

[Alice Ritchhart]

It is that time of year again. I need you to send in your dues for 
2011 if you wish to be a member of ACBDA. Please make your $10.00 
check available to ACBDA and send it to the address listed on the 
membership form below. Those who saw me and paid during the National 
convention in AZ. do not need to pay again. I will also be sending 
out written notices in the next few days.
Thanks
Alice Ritchhart, Treasurer


ACB Diabetics In Action
Membership Application


Name:
Street Address:
City/State/Zip:
Phone Number:
E-Mail:

I would like my newsletter in(Check format):
Large Print___  Braille___ e-mail___  Audio___

Please fill out and return with check to:
ACBDA
139 Altama Connector Suite #188
Brunswick, GA 31525
Phone (912) 996-4213
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