State Convention Registration Form

Home
Node
State Convention Registration Form

Contact 1

First Name First Name

Last Name Last Name

Country Country

Street Address Street Address

City City

State/Province State/Province

Postal Code Postal Code

Phone Number Phone Number

Email Email

Which chapter are you a member of? Which chapter are you a member of?

Are you a member of the National Federation of the Blind?

Yes

Are you a member at large?

Yes

Are you a current Guide Dog user?

Yes

Are you a first time attendee

Yes

Agenda preferred format:

Braille

Choose your banquet meal, for NFB members the banquet is free. For Non NFB members, the cost is $65

Salmon

Flank steak

Vegetarian

A boxed lunch will be available ON FRIDAY SEPTEMBER 12TH for $20. Must preregister to receive a boxed lunch ticket.

Ham

Turkey

Vegetarian

Payment

Registration fee

$25

Contribution Amount Contribution Amount

Contribution Note (Please indicate if this donation is in memory of someone, for a particular event, etc.) Contribution Note (Please indicate if this donation is in memory of someone, for a particular event, etc.)

Subscribe to active listserv

Contact Us

National Federation of the Blind of North Carolina

Donate

Code of Conduct
Accessibility
Contact Us

State Convention Registration Form

State Convention Registration Form

Subscribe to active listserv

Contact Us

Connect with Us