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Yes! I/we wish to join as member(s) of DHI. Annual dues are payable in US $ only.
This application is for ( ) NEW membership ( ) RENEWAL membership
( ) Individual US $20 ( ) Institutional/organization US $50
* for DHI Membership through 31 October 2006*
Name: ____________________________________________ Telephone: _______________ Fax:_______________ E-mail:______________________________ Address: ________________________________________________________ ________________________________________________________ ________________________________________________________ Occupation/Field:_________________________ at_____________________ Deaf ( ) Hard of Hearing ( ) Hearing ( ) Language(s) you know: ____________________________________________Please return this form with your US $ check or money order made payable to "Deaf History International" Mailing address:
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