Membership Form

Down Syndrome Association – Hudson Valley

www.dsavh.org

Annual Survey for Family Suppor Services (FSS)
Please rate on a scale from 1 to 5, using 5 as the best

Membership for the year is $12. Please make checks payable to DSAHV and they can be mailed to:
DSAHV, PO Box 161, Hopewell Junction, NY 12533