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Welcome to DDA membership!
RESOURCES • RESEARCH • SPIRITUAL FOCUS
Mailing address: 1144 Ottawa Avenue
St. Paul, MN 55118-2008
FAX and Phone: 651 457 4376
 Thursday, July 3, 2008 10:22 PM
PAY ANNUAL MEMBERSHIP FEE HERE: 
DOWNLOAD "mail in" PRINT FORMAT MEMBERSHIP FORM
Membership Form
DIABETICS/DISABLED ANONYMOUS IS DEDICATED TO ABATING MEDICAL/LEGAL/OFFICIAL ABUSE VIA RESOURCES, RESEARCH AND SPIRITUAL
FOCUS - 4 PUBLIC AWARENESS


PLEASE PAY ANNUAL MEMBERSHIP FEE TO DDA TODAY - PAY BY PAYPAL AT TOP OF THIS PAGE


What is your name?

What is your email address?
Address:
city:     country:     zip/mailing code:   

(cell and/or home)  telephone nos.:     fax:

Disabled Personally?   Not Disabled Personally?  Family Member of Disabled Person?

DO YOU RECEIVE SSI?      DO YOU RECEIVE SSDI?

LEGAL
ATTORNEY
CIVIL RIGHTS
CRIMINAL
GOVERNMENT
INTERNATIONAL
SOCIAL SECURITY
STATE WELFARE
LEGAL RESEARCH
PARALEGAL

ORGANIZATIONAL:
FINANCIAL PLANNING
ACCOUNTING
PUBLIC RELATIONS
SUPERVISING
ADMINISTRATION
VOLUNTEER PROJECTS
FUND RAISING
PROMOTION/MARKETING
COORDINATION
GRANT WRITING
PUBLICITY

OFFICE:
BOOKKEEPING
ACCOUNTING
DATA PROCESSING
TYPING
ELECTRONICS REPAIR
FILING
SECRETARIAL
PC PUBLISHING
COMPUTER NETWORKING
CARPENTRY AND REPAIRS
CLEANING
ELECTRICAL
PLUMBING
COMPUTER REPAIR

MULTIMEDIA:
PRINT DESIGN
WEB DESIGN/CODE
JOURNALISM
RESEARCH
VIDEO
TELEVISION
STAGE DESIGN
COPY WRITING
PRODUCTION
GRAPHICS
WEB PROMOTION
E-COMMERCE
PRINTING
MEDICAL:
FORENSIC
ENDOCRINOLOGY
ONCOLOGY
PSYCHIATRY
PSYCHOLOGY
NURSING
PERSONAL CARE
PHYSICAL THERAPY

SOCIAL/SPIRITUAL:
MINISTER
PSYCHIC HEALING
PSYCHIC
TAROT
ASTROLOGY
RUNES
CHANNELING
SPIRIT CONTACT
INTUITIVE
GRIEF COUNSELING
SOCIAL WORK

COMPLEMENTARY:
CHIROPRACTOR
TOUCH THERAPY
REIKI
ACUPUNCTURE
AROMA THERAPY
MASSAGE
SPIRITUAL ART
SOUL RETRIEVAL

OTHER SKILLS:

THANKS FOR YOUR DONATIONS AND SUPPORT - CHECKS PAYABLE TO "D.D.A."
PER WEEK: PER MONTH: PER YEAR:
$10.00 $25.00 $50.00 $100.00 $150.00 $200.00 $250.00 $500.00
PLEASE LIST OTHER SPECIAL CIRCUMSTANCES AND MATERIALS OR GOODS YOU CAN DONATE TO DDA SEPARATELY IN AN E-MAIL TO DDA.
COMPLETING THIS FORM CONSTITUTES CONDITIONAL MEMBERSHIP TO DDA THAT IS SUBJECT TO PLEDGE AGREEMENTS.
*REQUIRED: READ AND AGREE TO PLEDGE TERMS BEFORE SUBMITTING THIS MEMBERSHIP FORM.
More info about you: e.g. your problems, age, gender, disabilities, other skills and experiences, and any other info you want to share:
Information (INFO CAN BE SENT TO YOU BY E-MAIL ONLY) you request about DDA:
Is this communication urgent? Yes No

Date of application:   MONTH:   YEAR:
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MEMBERSHIP FEE HAS BEEN PAID TODAY?    MEMBERSHIP FEE HAS NOT BEEN PAID TODAY?

*ACCEPTED MEMBERSHIPS ARE LIFETIME MEMBERSHIPS, WITH ANNUAL PLEDGED FEES. YOU WILL BE CONTACTED BY E-MAIL IF YOUR MEMBERSHIP APPLICATION HAS NOT BEEN ACCEPTED. DDA RESERVES RIGHTS TO TERMINATE INDIVIDUAL MEMBERSHIPS FOR GOOD REASON, AT ANY TIME. DDA DOES NOT OFFER LEGAL OR MEDIAL ADVICE.

Existing DDA members who have filled out paper applications do not need to sign up for membership again here,
*INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED.
Clicking the submit button is equivalent to signing this application form.