Mothers Against Drunk Driving is an organization that was started by one person. And despite MADD's accomplishments, it still receives most of its financial support from individuals just like you. MADD receives very little state or federal funding in its fight to reduce drunk driving and save lives on America's streets and highways.

For anyone who is interested in joining the fight against alcohol and other drug-impaired driving, MADD, Northern Virginia invites you to join us in our mission to stop drunk driving and to support the victims of this violent crime. Your membership dollars and volunteer hours will be used to support local programs in Northern Virginia, such as Project Red Ribbon, Designated Driver, PosterESSAY Contest, Victim Assistance, Victim Impact Panels, and Victim Support Group.

To become a member of the MADD Northern Virginia Affiliate, please print and complete the information on this page:

Name:__________________________________________________________

Email Address:__________________________________________________

Address:________________________________________________________

City/State/Zip:___________________________________________________

Home phone:___________________ Work phone:_______________________

FAX:_____________________________________________________________

Please check one of following membership types:

_____ Victim
_____ Family of Victim
_____ Regular

Check one of following to make a voluntary donation and enclose a check (payable to "MADD") for the appropriate amount:

_____ $20
_____ $50
_____ $100
_____ $Other

THANK YOU FOR YOUR SUPPORT!