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Thank you for helping us reach the families of over 1,500 children in
the state of Colorado who are Deaf/hard of hearing, including yours!

Choose Your Annual Membership Type

Parent or friend of a deaf/hh child

$25

Deaf or hard of hearing adult

$25

Student

$25

Professional

$40

Organization / Agency

(Five newspapers to address)

$100

Community Member

$30

Dedicate this membership.

Add a little extra to help with online processing fees

Your Details

What's your name?

First Name

Last Name

Don’t share my name publicly

Email

Your receipt will be sent to this email. Make sure to double-check for typos.

Address

Apartment, Suite, Etc.

Optional

City

State

Zip Code

Country

Phone

Optional

Employer

Optional

Yes! Colorado Hands & Voices may contact me at the e-mail address above.

Additional Details

Just a few more questions!

Mailing List

Optional

Add name to receive newspaper, etc. / Remove name

Name of Child

Optional

School District

Optional

Grade in School

Optional

Hearing Level

Optional

Payment Details

All transactions are secure and encrypted.

Billing Address

Same as Mailing Address

If you would like to pay by check, please download this form and mail and check to: Colorado Hands & Voices, PO Box 3093, Boulder, CO 80307

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Scholarship Request:

If you need a one-year scholarship for a parent membership, click here.