2025 Membership National Association Statewide Independent Living Councils

NATIONAL ASSOCIATION STATEWIDE INDEPENDENT LIVING COUNCILS Membership Application Form
NASILC Members benefit from networking, training, peer support, discounts on SILC Congress registration, SILC representation on a national level including with Federal funders, and more! Together we can elevate the important work of SILCs!

Memberships will be accepted throughout the year, for the membership period of January 1, 2025, through December 31, 2025

Upon payment of applicable dues, it shall be assumed that a member sincerely supports NASILC's mission, vision, and guiding principles without reservation.

Membership Types:

SILC Active Membership $250
- Available to all SILCs.
- These members serve as the voting body of NASILC.
Affiliate Membership $125
- Available to organizations (including DSE’s) that are interested in Independent Living and support the purpose of NASILC.
- These members are non-voting and may not hold office.
Contact Information*

PrefixFirst NameLast Name
SILC Name or Organization Affiliation:*
Title*
Ex. Director, SILC Chair, SILC Staff
Preferred Pronouns*
she/her/he/him/they
Email*
example@example.com
SILC Region (if known)
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Membership Level:*

SILC Active Membership $250Affiliate Membership $125
If you are applying for an Affiliate Membership, please include a few sentences on how your organization supports the purpose of NASILC and promotes Independent Living Philosophy in your work.
If you are mailing a check please make check payable to: NASILC

Send a Check to:

NASILC- Attn. Sidna Trimmell

1116 Cedar Drive

Blanchard, OK 73010

If paying via PayPal:

link is paypal.me/NASILC
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2025 Affiliate MemberMembership through December 31, 2025
$125.00



2025 SILC Active Member Membership through December 31, 2025
$250.00



Pay Offline If mailing a check please follow instructions below.
$ Free



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NATIONAL ASSOCIATION STATEWIDE INDEPENDENT LIVING COUNCILS Membership Application Form

Additional employees or Council/Committee members to receive emails