Vision Bee Registration

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2015 Vision Bee
January 14th Albuquerque, NM @ Marriott Pyramid Hotel, 5151 San Francisco Rd.NE, Albuquerque, NM 87109-4641
January 16th Alamogordo, NM @ Alamogordo Community Center, 800 East First Street, Alamogordo, NM 88310

New Mexico School for the Blind and Visually Impaired
801 Stephen Moody St.
Albuqurque NM, 87123

Phone: 505-271-3067
Fax: 505-271-3073
www.NMSBVI.net
email: kimberkniffin@nmsbvi.k12.nm.us

Attendee Information:

Please provide the information below

Choose a venue *

Choose one venue from the list below

Interpreter Needed? *

Will you need an interpreter at the venue?

Yes

First Name *

Last Name *

Company *

Please provide the company you are associated with

Address *

Please provide the best address to send your certificate to

City *

State/Province *

Zip/Postal Code *

Contact Number *

please provide a current phone number

Email *

please provide a valid email

Alternate Phone #

please provide an alternate phone number if available

Special Needs?

List any special needs that we need to accommodate

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