| Serving Becker, Clay, Douglas, Grant, Norman, Otter Tail & Wilkin counties.
Arc West Central draws its strength from membership support.
Why should you be a member of Arc?
To improve the lives of people with developmental disabilities, The Arc…
To assist families, The Arc…
Membership Dues help raise funds to further our mission to help people with developmental disabilities reach their full potential. There has never been a better time to join.
Type of Membership (check one) ____ Individual ($30) ___ Family ($50) ___ Organization ($150 or $250)
_____Memorial or ___In honor of__________________________ Amount _________
Name of Second Adult (if family membership)_______________________________________________
Business (if applicable) _______________________________________________________________________
Address ____________________________City_______________ State_________ Zip Code ____________
Telephone Number _______________________ ____________________ ________________________
Relationship To Person With Disability (check all that apply):
___ Parent ___Guardian ___Foster Parent ___Sibling ___Grandparent ___Other
Full Name of Person with Disability (if applicable)____________________________________________
Age of Person with Disability (if applicable) ___Infant (0 - 23mo) ___Toddler (0 – 24 mo.)
Type of Disability _________________________________________________________________
___ Interested in email Action Alert Interested in monthly Fun Sheets _____via email _____via Postal mail
Please include a check or money order payable to Arc West Central for the amount specified beside the type of membership you have chosen.
|Arc West Central|
810 4th Ave. S, #134
Moorhead, MN 56560
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