ILCNSCA Annual Individual Membership

The Independent Living Center of the North Shore and Cape Ann, Inc. is a service and advocacy organization run by and for people with disabilities. ILCNSCA supports the struggle of people who have all types of disabilities to live independently and participate fully in community life. Persons who receive our services are called consumers.

Consumers choose what services they want from ILCNSCA and they determine what, how and when to reach their independent living goals. Consumer choice and control is also manifested by the voting membership electing the Board members of the organization. The Board is the legal entity responsible for the legal, planning, public relations and fiduciary requirements of the organization. The Board hires the Executive Director.

All voting members must have a disability/ be regarded as having a disability, and either live on the North Shore/ Cape Ann, or receive services at the ILCNSCA, Inc. Voting and non-voting members are the supporters on the North Shore and Cape Ann for consumer control and independent living by persons with disabilities. Voting and non-voting members are the leaders for increasing accessibility under the Americans with Disabilities Act and the access regulations of the Commonwealth. Voting and non-voting members are the collective voice of persons with disabilities on the North Shore and Cape Ann.

You can be a member, voting or non-voting, of the ILCNSCA. You will receive our quarterly newsletter. You will receive special mailings regarding events/activities of interest to persons with disabilities and their supporters. You will receive announcement of special information sessions and political actions affecting the lives of persons with disabilities. You have access to our library and resource materials. Complete the reverse side to become or to renew your annual membership. Return the completed membership form with your annual membership fee to:
ILCNSCA
27 Congress Street Suite 107
Salem, MA 01970.

Thank you for your support and participation.

ILCNSCA MEMBERSHIP FORM

Print, complete, and mail to ILCNSCA. For assistance, call 978-741-0077 or 978-745-1735 TTY.

_____Yes I would like to become a New member or Renew my membership of/to the Independent Living Center of the North Shore and Cape Ann, Inc. and support the Center's work toward dignity and self-determination for all people with disabilities.

______I am eligible to become a Voting Member and as a Voting Member I will be able to vote at the Annual Meeting to elect the ILCNSCA Board of Directors.

My name is: _______________________________________________________

My mailing address is: __________________________________________________

My phone number is: __________________________________________________

My EMAIL address is: __________________________________________________

My annual membership dues are enclosed for the amount of:

_____$ 10.00 (usual dues)

_____$11-$50.00

_____$51.00-$100.00

_____Over $100.00

_____I cannot afford the fee right now, but here is what I can afford $ __.

Please make checks payable to the Independent Living Center of the North Shore and Cape Ann, Inc. or ILCNSCA. All memberships expire on the last day of September. Thank you for your membership.