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Become a member of ICB
Registration: Annual ICB Membership (1 year) (01-31-2010 - 01-01-2011)
Your total Registration cost: $ 10.00
USER INFORMATION
(
*
= required field )
First Name:
*
Last Name:
*
Organization:
Address:
*
City:
*
State:
*
Zip Code:
*
Email:
*
Confirm Email:
*
Phone:
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ADDITIONAL INFORMATION
Do you want the Illinois Braille Messenger in 2011?:
No Thank You
Braille
Large Print
Tape
Email
What is your level of vision?:
TOTALLY BLIND
LEGALLY BLIND
SIGHTED
Preferred format for correspondence:
BRAILLE
LARGE PRINT
CASSETTE
E-MAIL
Illinois Council of the Blind | P.O. Box 1336 | Springfield, Illinois 62705-1336 | 217.523.4967, 866.850.1336 |
icb@icbonline.org
Illinois Council of the Blind. All rights reserved.