Member at Large

National Federation of the Blind Member-At-Large Application Form

Thank you for your interest in becoming a member-at-large of the National Federation of the Blind. While we strongly encourage individuals to become active in their local chapter or local state affiliate, geography or other factors may make this difficult. Joining the National Federation of the Blind as a member-at-large subscribes you to our monthly newsletter, Imagineering Our Future, as well as giving you an opportunity to subscribe to our flagship publication, the Braille Monitor.

Required fields are indicated by an asterisk (*).

Member at Large

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Annual Membership *

Member at Large - $ 10.00

Donation to cover Braille Monitor Publishing Costs

US Braille Monitor Subscription - $ 40.00

Total Amount

Member at Large

Media

First Name *

Middle Name

Last Name *

Street Address *

Additional Address

City *

Country

State *

Postal Code *

Email *

Phone *

Credit Card Information

Card Type

Card Number *

Security Code *

Expiration Date *

My billing address is the same as above

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *

Please send me information about NFB groups in my area

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National Federation of the Blind Member-At-Large Application Form