CDSPG MEMBERSHIP FORM

If you would like to know more about Chesapeake Down Syndrome Parent Group, Inc., please
complete this form and mail it to the address at the bottom of this page.

If you would like to become a member of CDSPG, Inc., please print this page and fill out this form.
Then enclose a check, made payable to: CDSPG, Inc.

Regular Membership Fee: $25.00

Name __________________________________________________________

Address ________________________________________________________

City/Town ______________________________________________________

State _________ Zip ____________ Phone ___________________________

E-mail _________________________________________________________

Category of Membership:
___ Parent - Please indicate child's birthdate ___|___|___

      Names:_____________________________________________________

___ Relative, Friend, Professional - Please indicate involvement

___ Self-Advocate

___ Organizational

___ Check if Renewal

CDSPG, Inc. is a not-for-profit organization that relies solely on memberships and donations. All
donations are tax deductible to the fullest extent of the law. Your donation is gratefully accepted.

Mail the print-out of this form and your check to:
CDSPG, Inc.
P. O. Box 20127
Baltimore, MD 21284-0127
Please feel free to e-mail us at infoplease@cdspg.org or call us at 410.321.5434.

Are you interested in our CDSPG listserve group?
CDSPG group is available at Yahoo! Groups, a free, easy-to-use email group service. As a member
of this group, you may send messages to the entire group using just one email address:
CDSPG-DSRN@yahoogroups.com. Yahoo! Groups also makes it easy to store photos and files,
coordinate events, and more.

Are you interested in volunteer opportunities?
CDSPG, Inc is looking for individuals who are willing to donate their time to our various activities or
even becoming a board member. If you are interested or need more information please call us at
410.321.5434 or e-mail us at infoplease@cdspg.org.