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To become a member of our chapter you will need to:
  1. Complete a membership application either by:
    1. online (see below)
    2. snail mail (see home page)
    3. in person at meeting (see home page)
  2. Pay $7 yearly dues: $2-national $3-state $2-local chapter (local dues vary from chapter to chapter)
  3. A letter from your eye doctor confirming your status as either (1) legally or (2) totally blind.


Membership Application

Do not hit return while filling out the form, only use your "tab" key!

First Name:

Middle Name:

Last Name:

Email Address:

Street Address:

City:

State:

Zipcode:

Birthday

Year:

Area Code:

Phone:

Employer:

Marital Status

# of Children in Household:

Childrens Names:

Spouse Name:

Are you applying for membership as: Totally Blind Legally Blind