North Carolina Augmentative Communication Association

Application for Membership

The North Carolina Augmentative and Alternative Communication Association is committed to providing leadership in the promotion of the best possible communication for people of NC with complex communication needs. Critical to our achieving this mission are the partnerships, which we have established with service providers, educators, researchers, manufacturers, state agencies, legislators, persons with complex communication needs and their families. NCACA’s purpose is to provide information, training, and support regarding all areas of augmentative communication to interested persons. General activities include charitable, educational, and financial support for augmentative communication users and professionals.

Annual Membership Fee: $25.00 for individuals/groups (professionals, students, families, agencies, organizations).

Memberships run January-December.

After submitting your application below, please send your check made payable to: NCACA

Send to Membership Chair:
Holly Camplin
NCACA Membership Committee
PO Box 38567
Greensboro, NC  27408  

First Name*

Last Name*




Mailing Address:
Zip Code*

Home Phone*
Business Phone

Family Member/Customer Student (Full time) Professional 

Do we have permission to print this information in our Membership Directory?
Yes No 

Do we have permission to publish this in the Directory located on the website (member only access)?

Yes No 

Referred by:

I am interested in serving on the following committees:
Education Long Range Planning Conference Membership Family/Consumer Publicity Becoming a Mentor For My Area Programs Newsletter 

Any additional questions or comments:


For a hard copy to print:  NCACA 2017 membership application