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

Donate to DAPS

Donations to DAPS support our service to the Parkinson's community by providing funds for exercise and speech groups for those with Parkinson's disease, support groups for family members, and much more!

General Donations:

To make a general donation, click the button below.

Membership Donations:

With membership you receive our informative newsletter. You may become a GEM (Giving Every Month) or an Annual Member (paying yearly on the anniversary of your becoming a member).

Honor and Memorial Donations:

To donate in honor or in memory of someone special, click the button below.

Sponsorship

To submit a credit card payment for your sponsorship of a DAPS event or newsletter, click the button below.

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Donate to DAPS

General Donations:

Membership Donations:

Honor and Memorial Donations:

Sponsorship