MCB 2025 ANNUAL STATE CONVENTION

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Registration is $25 if paid by September 12th. Late registration is $30.

Select if you are a MCB Board Member or Committee Chair? *

25 points

YES

Are you a board/ Committee Chair Guide / driver?

if So who ?

Other:

If yes, what committee or board position?

First and last name *

Address *

Phone number *

Email *

Are you a first timer? (this is your first time attending a convention) *

Yes

Required

Are you an affiliate member or member at large? *

I am an affiliate member

I am a member at large

If you are an affiliate member, what affiliate *

Do/ did you serve in the military? *

Yes

If YES, what branch?

If YES, how long did you serve?

What form would you like your programs *

Large Print

Braille

Are you fine with photos taken at convention on MCB website, Facebook, and other media outlets *

Yes

Would you like a T-Shirt ( Cost $25)

25 points

Yes

Clear selection

What size shirt would you like?

XXL

Clear selection

Clear form

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