ACB-Ohio Membership
Sign in to Google to save your progress. Learn more
Email *
Instructions

Use this form to join or renew your membership with ACB-Ohio. Once you submit the form, you will be given a link both on your screen and through email to pay for your membership based on which membership option you selected. This link will take you to a separate secure payment platform; you will not be paying directly through the Google form itself. Your new membership or renewal will not go into effect until payment is made.

Online payments will be charged a 3.6% processing fee to cover the online processing. Those who wish to pay by check instead (without the fee) should send a check to the ACB-Ohio office at the address below. Please subtract the online processing fee from the total shown on your receipt when paying by check. Please include "Membership Dues" in the memo line, as well as the name of the member.

ACB-Ohio
3805 North High St., Suite 305
Columbus, OH 43214
What year are you applying for? *
Note: We are currently only accepting dues for 2026 membership. This membership will expire after December 31, 2026. 

According to our bylaws, we cannot begin accepting dues for 2027 until our annual convention, which will begin on October 9, 2026.
Required
Application type 
 *
First name *
Last name *
Address *
City *
State *
Zip code *
Phone Number *
Preferred communication method *
Required
Gender *
Race/Ethnicity *
Vision status *
Ohio Connection - State Newsletter, Format Choice: *
ACB Braille Forum Format *
Chapter You Wish to Join:
 *

I want to be put on the ACBO list to receive news, announcements, and reminders.

 *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of American Council of the Blind Ohio Inc..

Does this form look suspicious? Report

Google Forms