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The Learning Disabilities Association of Illinois

10101 S. Roberts Road. Suite 205

Palos Hills, Illinois 60465 - 1556

MEMBERSHIP INFORMATION

Name_____________________________________

Address____________________________________

City, State, Zip_______________________________

Phone:______________________________________

Dues $30.

-----Check   ____Master Card/Visa _______________

                            Expiration Date _________________

 

Signature_____________________________________

LDA-Illinois

Phone #  708 430 7LDA

Fax 708 430 7592