Regular Membership $40.00
Youth Membership $20.00
Sustaining Membership $100.00
Life Membership $1000.00
(Life Members can pay in installments -
see form here)
Name________________________________________________________
Address______________________________________________________
City________________________ State________ ZIP_________________
Phone________________________ Email__________________________
Cell Phone ____________________________
Method of Payment: ‡ Check ‡
MasterCard ‡ Visa
Credit Card Number______________________________ Exp ___________
Make checks payable, and mail application to:
ADA
PO Box 21868
Mesa, AZ 85277