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Arizona Council of the Blind, INC.
3124 E. Roosevelt St., Ste. 4
Phoenix, AZ 85008-5088
(602) 273-1510

MEMBERSHIP APPLICATION

Membership in the Arizona Council of the Blind is an adventure we want you to share. We hope you will get involved.

The Arizona Council of the Blind gives you a voice in our state and nation. Come, take our hand, and join our adventure.

Fill in the form below and submit and we will send you a Self Addressed Envelope. Just put your payment in the envelope, seal and send it back and you will be a member of the Arizona Council of the Blind and the American Council of the Blind.

Payment for new members of the Arizona Council is $10.00. Renewal fee is $10.00.

Is this a renewal or a new member application? (Check one): New Member
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NEWSLETTER PREFERENCE for Fore-Sight (newsletter of the Arizona Council) Check one: Do not send.
ACB BRAILLE FORUM (newsletter for NATIONAL) check one:

Submit will send an E-mail of this form to the AZCB. If you are asked for an address please use tom@azcb.org
Click here when your information input has been completed
Arizona Council of the Blind Home Page.