Individual Membership Form

*Membership Levels explained:

  • Level 1: Information only. We will send general ADAPT information, (meeting notices and minutes) to keep you informed in case an issue arises that you would like to work on, and email Action Alerts, which will give you the opportunity to contact your legislators or other decision makers by phone, email or letter to advocate for issues that interest you. 
  • Level 2: Information, Call to Action List. Same as above, but also we will put you on our on-call list for meetings and actions; in addition to email reminders, we will give you a courtesy (reminder) regarding monthly meetings and direct actions we schedule (protests, rallies, etc.). 
  • Level 3: Information, Call to Action List, Organizing. Same as above, but also you are interested in helping with LI ADAPT organizing by attending monthly ADAPT planning meetings and/or ad hoc working group meetings on specific issues (either in person or by phone) to support ADAPT with your input, suggestions, volunteer time, etc. We will also ask if you can volunteer 1 – 2 hours/month to help us with your choice of support activities (eg. Data entry, fundraising activities, etc.).


We welcome donations at any time, to support disabled activists and their allies in advocating for disability rights; for organizing and direct action costs. Please send a check for any amount (even $5 or $10 can really help!) made out to SILO, with LI ADAPT on the memo line, to SILO for DNY ADAPT, 3253 Route 112, Building 10, Medford, NY 11763. Thank you!

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