Become a Member

The Boston Center for Independent Living (BCIL) urges you to become a dues-paying member. By doing so, you’ll become part of a growing group of people with disabilities and advocates who support BCIL.

Your membership champions BCIL’s crucial work. You will be assisting advocacy efforts for independent living and critical IL services that help people with disabilities live on their own, get a job, graduate from school, and be active, productive members of our community.

As part of this year’s campaign, we asked several people what independent living means to them and why it is important.  Click here to see their videos.  If you are interested in sharing why independent living is important to you, contact Susan at ssmith@bostoncil.org.

Fill out the form below to complete your registration and please note:

• All dues and donations are tax-deductible.
• As a dues-paying member we invite you to attend BCIL’s Annual Meeting in November.

We thank you for your desire to support Independent Living!

Membership Form

Name *

Email Address *

ADDRESS *

ADDRESS

ADDRESS

ADDRESS

City

City

State AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

State

Zip Code

Zip Code

Phone

Donation Amount *

Standard dues are $20.00. If you would like to make an additional donation enter it here also.

How would you like to pay? *

By credit or debit card - you will be redirected to Paypal

By check – please mail your check to: BCIL, 60 Temple Place, 5th Floor, Boston, MA 02111 Attn: Susan Smith

Additional Comments

reCAPTCHA

Δ