Membership
Email *
First Name *
Last Name *
Street Address *
Street Address
City *
State *
Zip Code *
Home Phone
Mobile Phone
Work Phone
Home E-Mail
Work E-Mail
What year did you join the NFB?
Are you Blind? *
Preferred format *
Do you use a White cane? *
Do you use a guide dog? *
Birthday *
MM
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DD
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YYYY
Notes
Which chapter/division are you a current member of? You can only choose one.
Which chapter/division are you a current member of? You can only choose one.
Would you like to be added to the National Federation of the Blind of SC list serve?
Would you like to receive the weekly Positive Note for the National Federation of the Blind of SC?
The website to pay your state dues will be in the E-Mail you receive back from Google once you submit your form. Then to confirm your membership in the NFB of SC, you must pay your $10 state dues via our donations link at www.nfbofsc.org via Pay Pal. If you have any questions, contact Steve Cook at cookcafe@sc.rr.com or 803 260 1292.
A copy of your responses will be emailed to the address you provided.
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