[acb-diabetics] It's time: membership renewal

[Alice Ritchhart]

Below please find the membership renewal form. If you have not sent 
in or did not renew your membership at the ACB convention this past 
summer it is not to late. Please fill out the information and send it 
to the address listed with your $10.00 dues.
Thanks
Alice Ritchhart, Treasurer

ACB Diabetics In Action
Membership Application


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

Fully sighted? Yes or No

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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