Members Application Form

                NATIONAL FEDERATION OF THE BLIND

                   MEMBERSHIP APPLICATION FORM

     The National Federation of the Blind has chapters in all fifty

states and in almost every local community in the nation.  The

Federation has more than 50,000 members and is working to help the

blind to have full and meaningful lives.  It is not financed by the

government but depends for support on contributions from its

members, and its friends.

     I support the National Federation of the Blind and herewith

pay one dollar for Membership-at-large in the organization.  As a

Member-at-large I wish to make a tax-deductible contribution for

the year_______in the amount of:

     [ ]  Associate--$l0

     [ ]  Contributing Associate--$25

     [ ]  Supporting Associate--$50

     [ ]  Sponsoring Associate--$100 

     [ ]  Sustaining Associate--$500  

     [ ]  Member of the President's Club--$1,000 

     [ ]  Other________

(Please type or print legibly.)

Name

Street

City                        State      Zip

Telephone                   Date

Local representative of the National Federation of the Blind:

(Name)                                   (State)

     This application and accompanying check made payable to

National Federation of the Blind should be sent to:

                       Associates Program

                National Federation of the Blind 

                       1800 Johnson Street

                    Baltimore, Maryland 21230

_________________________________________________________________

                             RECEIPT

Received of

the amount of                dollars.          Date

Signature of local representative of the National Federation of the

     Blind

(All contributions to the National Federation of the Blind are tax-

deductible.  No goods or services, in whole or in part, were

provided in consideration of this contribution.)

This site last updated 5/26/98

This site donated and maintained by:
Eloquent Vision Enterprises

This site last updated 5/26/98

This site donated and maintained by:
Eloquent Vision Enterprises