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           Household/Individual Update Form

    NOTE:  Only members who are in good standing at TDI will continue to
    receive the quarterly GA-SK news-magazine and the annual Blue Book.  
    To join or renew, click on "JOIN."

Are you listing yourself for the first time in TDI's Blue Book?
                                             


Enter your OLD listing information in this section:

Your First Name: 
Your Last Name: 

Spouse's Name: 
Street Address: 
City:  State:  Zip: 
Home Phone Number:     TTY Voice Both
Work Phone Number:     TTY Voice Both
Fax #:              Pager #: 
Your E-mail Address: (required for TDI's eNotes)

Spouse's E-mail Address: (if given, your spouse will also get TDI's eNotes)

Your Instant-Messaging (IM):  (if any)
      Service:
   User ID:
Your website: 


Enter your NEW listing information in this section:

Your First Name: 
Your Last Name: 
Spouse's Name: 
Street Address: 
City:  State:  Zip: 
Home Phone Number:     TTY Voice Both
Work Phone Number:     TTY Voice Both
Fax #:              Pager #: 
Your E-mail Address: (required for TDI's eNotes)
Spouse's E-mail Address: (if given, your spouse will also get TDI's eNotes)

Your Instant-Messaging (IM):  (if any)
      Service:
   User ID:
Your website: 
 

Your choice for listing in the directory?
Do you want to be listed in the electronic directory? 
Do you want your address shared with any kind of service? 

 NOTE:  Fill in the fields before printing this Form out.
                 Fax or mail the printed form to:

                         TDI
          8630 Fenton Street, Suite 604
         Silver Spring, Maryland 20910
                               U.S.A.
                     301-589-3797 FAX

                           Send e-mail to Webmaster  with questions or comments about this web site.
                           Copyright © 2001 TDI    All Rights Reserved   Last modified: December 24, 2003