MEMBERSHIP APPLICATION FORM

              National Federation of the Blind

		  1800 Johnson Street

                  Baltimore, Maryland 21230

               Associate Member Donation Form

     Yes, I want to become an Associate Member of the

National Federation of the Blind in the classification I've

indicated.

I am making payment by the following method:

Signature:

     Card Number:

(Please Print) Name:________________________________________

Street address:

City:

State:

(optional) E-Mail address:________________________________

Phone: (

     me.

     Authorized Check) Plan so I can make monthly

     contributions automatically.

1.  (Please Print) Name:____________________________________

Street address:

City:

State:

(optional) E-Mail address:________________________________

2.  (Please Print) Name:____________________________________

Street address:

City:

State:

(optional) E-Mail address:________________________________

  

         Please send your donations made payable to

              National Federation of the Blind

		Attention: Associates Program

                     1800 Johnson Street

                  Baltimore, Maryland 21230

What is the NFB | National Events | State Events | Local Events
Crawford County | Ft. Smith | Hot Springs | Jonesboro | Nashville
Pulaski County | NorthWest AR
Current Issues | What can you do? | Contact | Resources

This site last updated 5/26/98

This site donated and maintained by:
Eloquent Vision Enterprises

What is the NFB | National Events | State Events | Local Events
Crawford County | Ft. Smith | Hot Springs | Jonesboro | Nashville
Pulaski County | NorthWest AR
Current Issues | What can you do? | Contact | Resources

This site last updated 5/26/98

This site donated and maintained by:
Eloquent Vision Enterprises