> What can you do? > Membership

Membership – which includes:

• Simultaneous membership in national organizations BIA, Inc. and BIAU.
• Participation in local support groups.
• BIAU and BIA, Inc. newsletters.
• Use of the library and resource center.
• Free and reduced fee on publications.
• Voting privileges at BIAU bi-annual meeting.

Membership Application
YES! I would like to join the Brain Injury Association of Utah, Inc. and help in its work to provide advocacy and support for TBI.
Printable Form

Form:

Date:
Name:
Age:
Address:
City:
State:
Zip:
EMail:
Phone:
• Home:
• Work:
• Fax:

Type of Membership:

• Corporate ($200)
• Professional Membership ($50)
• Individual with Brain Injury or Family Member ($35)
• Friend of BIAU ($35)
• Entry Membership ($5) (Entry Membership is for brain injury survivors or family members unable to meet membership fee)

Your dues include membership in the Brain Injury Association of America, which entitles you to a copy of their newsletter. One hundred percent of dues go directly to the Brain Injury Association of Utah. The funds will be used to provide services, materials, and printing costs.

Print out this page and mail it to:

Brain Injury Association of Utah, Inc.
1800 South West Temple Suite 203
Salt Lake City, UT 84115
Or
E-Mail this info to: biau@sisna.com