NNEDSC Membership Form
We are looking to update our membership list.  If you are interested in staying or becoming a member of the Northern New England Down Syndrome Congress, please fill out this form.  A physical form has also been sent to our current membership mailing list.  You only need to fill out one version (online or paper).  Thank you!  If you have any questions, please contact Jenn Bordis, President, at nnedsc@gmail.com.
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Household Name *
Current Street Address *
City *
State *
Zip Code *
Please enter an email address so your family can stay updated on NNEDSC events and information. *
Home Phone
Cell phone
Name of Person with Down syndrome *
Age of Person with Down syndrome *
Activities You Are Interested In
Please check any activities you may be interested in.
Resources You May Need
Are there any resources we can help connect you with?
Area Agency
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