Minnesota Association of Deaf Citizens (MADC) Membership Sign Up Form
This is a sign up form for new and current members. This will help us maintain our records accurately. If this form is not accessible, we have plain text format available. If you have questions, need accommodations or assistance with the form, email membership@minndeaf.org.  
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Are you a new member or renewing your membership? *
What is your full name? (First & Last Name, chosen name)
Your full name *
What pronouns do you use?
Your Pronouns *
Required
Which do you identify in the D/HH/DB Community?:
Your Identity *
Are you a resident of Minnesota?
You Reside in Minnesota? *
What is your mailing address?
Your Mailing Address *
What is your age group?
Your Age Group *
What is your email address?
Your email address *
What is your VP number?
Your VP Number (if you do not have one or do not want to share, please put X below) *
Do you want to receive emails from MADC about events, announcements, or news?
Receive Announcements
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