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FILIPINO AMERICAN ASSOCIATION FOR DEVELOPMENTAL DISABILITIES [FAADD] 2024 |
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FAADD FILIPINO-AMERICAN ASSOCIATIONFOR DEVELOPMENTAL DISABILITIES DONOR & MEMBERSHIP FORM DATE: ________________________
NAME:___________________________________________________________________________________
ADDRESS: ________________________________________________________________________________ _________________________________________________________________________________________
PHONE Nos: Home: ___________________ Work: ________________ Mobile: __________________________ E-MAIL: ______________________________________________________
*$25.00 Initial Membership Fee: __________ *$20.00 Annual Dues:___________*Donation: $ ____________ Send completed form/ fees/ donation to: FAADD c/o Nancy Francia, 5850 Parkmead Ct., San Diego, CA. 92114 Cash: _______________________ Check#: _________________ Amount: __________________
Family member with Developmental Disability: Name: ___________________________________________________________________________________ D.O.B.: ______________________ DD Condition: _____________________________________________________________________________ Relationship: ______________________________________________________________________________ Address: _________________________________________________________________________________ School/ Program: __________________________________________________________________________ _________________________________________________________________________________________ List other family members with DD: ____________________________________________________________ _________________________________________________________________________________________ Disclaimer: Information provided herein are for FAADD use only and are kept confidential. FYI: Photos/Videos taken during FAADD Events may be published in the FAADD Website, on FAADD Flyers or other upcoming FAADD Events. |
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