DAPS Annual Membership

Annual membership dues provide crucial funding for our many groups, classes, and educational programs.

With membership, you are automatically signed up to receive our free monthly printed newsletter. If you provide your email address, we will also add you to our e-news and updates list. (Don't worry--we will never share your information, we only send out a few emails each month, and you can opt out at any time.)

Membership Levels

If you pay by credit card, you may choose to auto-renew, or we can email a reminder to you when your membership is about to expire.

New Member Signup *

Family - $ 50.00

Supporting - $ 100.00

Donor - $ 200.00

Lifetime - $ 500.00

Email Address *

I am contributing on behalf of an organization.

Organization Details

Organization Name *

Phone

Address

City

State

Postal Code

Email *

Country

Member Profile

All fields with an asterisk are required.

Individual Prefix

First Name *

Last Name *

Phone *

Street Address *

Street address or PO Box. Please include apartment or suite number, if applicable.

City *

State *

Postal Code *

Postal Code Suffix

Birth Date

Credit Card Information

Card Type

Card Number *

Security Code *

Expiration Date *

My billing address is the same as above

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *

I heard about DAPS from...

How did you hear about DAPS?

Accept Credit Cards

Coming Up

Speech with Pat 04/13/2021 - 9:00am
Exercise with Diana 04/13/2021 - 10:00am
Speech with Lynn 04/13/2021 - 11:30am
Dance for PD® with Misty 04/13/2021 - 2:00pm
YOPD Support Group 04/13/2021 - 6:30pm

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