2022 Membership Form – National Federation of the Blind of South Carolina

To complete your 2022 NFB of SC Membership please complete the form below:

Full Name

Street Address

Street Address 2

City

State

Zip Code

Phone 1

Phone 2

Are you a new, current/existing, or lapsed member?

Approximately what year did you join the NFB?

Are you a person who is blind or sighted?

Preferred media format?

Do you use any of the following mobility aids?

Birthday (If this field is not completed, we will not be able to recognize your birthday)

Have you received a NFB Membership coin?

Please type any chapter or division that you are a current member of

If you are interested in any of the Committees/Divisions listed, please check all that apply.

Advocacy and Legislative Committee

Computer Science & Technology DivisionDiabetes Action Network (DAN) CommitteeDiversity, Equity and Inclusion (DEI) CommitteeFund Raising CommitteePublic Relations and Social Media CommitteeSports & Rec Division

By checking this checkbox, you agree that you have read and agree to the Code of Conduct.

I have read and agree to the Code of Conduct.

Thank you for your membership application! A copy of your responses will be emailed to the address you entered in the above email field. After clicking submit you will be taken to the NFBofSC website Donations page. Please click the Donate button on the Donations page to finalize your application.