Contact us to find a local chapter, or you can use this form to join The Arc-Wisconsin.

 

MEMBERSHIP APPLICATION FORM

 

Name(s) ____________________________

Title(s):    Ms.      Mrs.       Mr.       Mr. & Mrs.

Address _____________________________

City _________________________________

State __________________Zip ___________

Phone (H)  ____________________________

Phone (W)  ____________________________

Legislative District ______________________

Your relationship to a person with a disability:

Parent    Grandparent         Friend

Sibling    Professional         Other

_______$30.00 Membership Fee Enclosed