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How To Help

Join the MVDSA Today! Fill out your 2019 Annual Membership form here, or download it below.

Annual membership runs from January through December. Please complete our membership online form below or download the 2019 here and return the completed form with a check or money order payable to MVDSA to 1133 S. Edwin C. Moses Blvd., Suite 335, Dayton, Ohio 45417.

Online MVDSA Membership Form

Preferred Method of Contact

Annual Membership Dues

$25 per family / $15 per individual

Membership Type (select one)
Please check the boxes that apply:

Family Membership - Member Information:

Fill in all information that applies to your family membership.

Professional Membership -- Member Information:

Other/Advocate Membership -- Member Information:

Would you be interested in volunteering to help in any of the following areas? (Select all that apply)
Please select the following preferences and permissions.
Would you like to receive automatic phone calls or text messages about upcoming events?
Permissions: At times, the MVDSA and/or its affiliates may photograph people participating in MVDSA events. I give the MVDSA permission for my and/or my child’s photo and first name to be used in MVDSA publications, including but not limited to print materials, website(s) and social media.
Credit Card Information
Visa MasterCard American Express Discover

Visa®, MasterCard® & Discover® cardholders
Your security code is the 3-digit code at the end of the signature field on your card's back.

American Express® cardholders
Your security code is the 4-digit code located above the actual credit card number on your card's front.

Your payment will be