Indiana Chapter of Black Deaf Advocates
May 2024 - April 2025 Membership Form
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Email *
Last Name *
First Name *
Street Address *
City, State *
Zip Code *
Phone Number
Phone Type
ORGANIZATION MEMBERSHIP: *
MEMBER STATUS: *
MEMBER CLASS: *
ONE (1) YEAR MEMBERSHIP FEE *

Dual Membership Member is a dual membership of both NBDA and ICBDA. 
MEMBERSHIP FEE:

  • $30 REGULAR ($15 NBDA, $15 ICBDA)
  • $25 SENIOR CITIZEN ($10 NBDA, $15 ICBDA)
  • $25 STUDENT ($10 NBDA, $15 ICBDA)
What is included in Membership:
  • Subscription to quarterly NBDA Connections publication
  • Discounts to regional and national conferences
  • Voting privileges during elections and general business meetings
  • Opportunity to run and serve on Executive Board (must be a member for two consecutive years prior to election)  
  • Opportunity to serve on national programs and committees
  • Discounts on NBDA merchandise and More!

Single Membership Member is a single membership of ICBDA. 
MEMBERSHIP FEE:

  • $30 REGULAR 
  • $25 SENIOR CITIZEN 
  • $25 STUDENT 
What is included in ICBDA Membership:
  • Free admission to workshops
  • Free subscription to ICBDA Newsletter
  • Free ICBDA T-shirt
  • Discounts to regional conferences
  • Voting privileges during elections and general business meetings
  • Opportunity to run and serve on Executive Board (must be a member for two consecutive years prior to election)  
  • Opportunity to serve on local programs and committees
  • Discounts on ICBDA merchandise and More!
  • *After clicking submit button, you will receive a link and an email to submit your payment.  Small transaction fee will be applied.
Hearing Status: *
Interpreter Status: *
Questions or Comments, please email info@icbdainc.org.  Thank you for your continuous support.  Welcome to ICBDA!
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