Text Box: If you want to donate on-line, click here, or print this form, fill out and FAX to 214-634-9810 or send with your check to the address below. Today, I will help Cory, Reneé, Elliott, George and Ray...and hundreds more.  

Text Box:   Name                                                                                           Address                                                                                         City                                                 State          Zip                    Optional Information Phone                                     Email                                             o I cannot give today, but please keep me informed about The Arc of Dallas. Enclosed is my gift of:  $                              o $25    o $35    o $55    o $75     o $100   o $150  Please charge my credit card $                             oVisa    oMasterCard    oAmerican Express    oDiscover Credit Card No.                                                                          ___ Exp. Date _________ Signature ____________________________

Text Box: Become an Arc of Dallas Member or designate your year-round contribution to support a specific program. See reverse side for details.

Text Box: Designate support for an Arc program

Text Box: MEMBERSHIP LEVELS   o Circle of Leaders.. $101+ o Guiding Member.. $100 o Sustaining Member $50 o Supporting Member $25 o Member................... $15 o Self-Advocate.......... $11   The Arc of Dallas is a membership organization. In additional to regular updates of activities and program notices, membership entitles you to elect the officers of the board and vote on agency issues at its annual meeting.  

Text Box: I would like to become an Arc of Dallas member. (Indicate membership level at left)   I would like to support The Arc year-round. Please charge $                               to my credit card.      o Monthly      o Quarterly   o Twice a year,  beginning                         

Text Box: Please designate my year-round gift to support:

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Text Box: Advocacy and Intervention for individuals and families. Adventure Camp for school age kids on summer and spring breaks. Community Living Skills, year-round Arc L.I.F.E. training for  youth and adults. Guardianship for people with developmental disabilities     

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Text Box: between 18 and 49 years old. Information and Referral connecting people to community services. Leadership Institute, citizenship and self-advocacy training. Parent/Sibling Education, helping families adapt and thrive when a loved one has a disability. Hispanic Outreach, eliminating culture and language barriers to connect families to services.

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Text Box: To learn more, visit our website: www.arcdallas.org.  Please mail to The   Arc of Dallas, 12700 Hillcrest, Suite 200, Dallas, TX 75230.  Thank you!