American Council of the Blind Membership Application
Are you blind or visually impaired according to the legal definition of blindness?
i\If you are not currently receiving the Braille forum or if you would like to change the medium in which you receive it, please check one of the following.
Four-track Cassette (through 2012):
E-mail (Must include e-mail address):
Would you like us to submit for the e-mail edition?: yes: no:
to get the Braille forum by e-mail: see the Braille Forum page at acb.org for further instructions.
Application Submitted By:
Referring Memberís Name:
***Please make checks payable to Albuquerque Chapter, ACB NM***
Yearly Dues: $10.00
ACB = American Council of the Blind
NM = New Mexico