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Blind Merchants Membership Form

Please complete the following online form and submit payment via PayPal, or click here to download the NABM Membership Form and mail payment.

TERMS OF MEMBERSHIP

I agree to pay $10.00 dues to the National Association of Blind Merchants and therefore become a member of the National Association of Blind Merchants, a Division of the National Federation of the Blind

Name

First Name Last Name

Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Home or Work Phone

Fax Number

Email Address Verify Email Address

Type of Vending Facility

Name of Business

Do you currently receive the Braille Monitor?

Are you currently a member of a local NFB chapter

If you answered "NO", what format do you prefer to receive?

Cassette
Large Print

Payment Method

Online via PayPal
Mail a Check

Mailing Address: 1837 S Nevada Ave Colorado Springs, CO 80905

Please make checks payable to:

National Association of Blind Merchants
1837 S Nevada Avenue
PMB 243
Colorado Springs, CO 80905

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