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Application for Membership-ExceptionalOps

ExceptionalOps, 256 Commerce Drive, Suite 447 , Peachtree City , GA 30269

Executive Director: (770) 639-9169

Email address : ExceptionalOps@yahoo.com

Website: www.ExceptionalOps.com

 

 

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Application for new / renewal membership in ExceptionalOps – cut on dotted line and mail with $10 check or money order to:

 

ExceptionalOps , 256 Commerce Drive, Suite 447 , Peachtree City , GA 30269

 

___________________________ _________________________________________

Name and Mailing(include Street, City & Zip)

___________________________ __________________________________________

Telephone and Email Address

Reason for joining :

____ I have a developmental disability ____ My child has a developmental disability;

____ Educator ____ Service Provider_____ Concerned citizen _____ Friend / Advocate