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MSRID Membership

*Required

*Check one: Renewal | New Member

*Member Status:
Membership renewal is due in January each year. New members who wish to join during the year are pro-rate by quarter year. **Student, please send a copy of your Student ID or Class Schedule.

Please select Renewal or New Member above.

RENEWAL (Please select one)

$20.00 - Regular
$10.00 - Associate
$10.00 - Student**
$50.00 - Organization

NEW MEMBER (Please select one)

$15.00 - Regular
$10.00 - Associate
$10.00 - Student**
$50.00 - Organization

*First Name: Middle Initial:

*Last Name:

*Address:

Address 2:

*City:

*State:

*Zip:

*Phone: () -

Phone #2: () -

*Email:
(MSRID sends reminders and news of upcoming events. Your email address will not be shared with any third party unless you request it.)

*I am: Deaf   Deaf-Blind   Hard-of-Hearing   Hearing

List any credentials held (RID/NAD/QA/EIPA):

*RID Member Number
(Voting members pay Regular dues and provide proof of membership in RID. Certified interpreters are required to be current and active members of RID.)

Preferred Meeting Day/Time: