Become a Member of the Cobb County Empowerment Chapter of the National Federation of the Blind

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Welcome to our membership and donation page. We are excited to have a value added membership card where you get discounts from our sponsors just by being a member of the CCECNFB family. To become a member and receive all the discounts we provide just fill out the form and click the button below to pay your $10 yearly dues or to make a donation and you’ll be another proud member.

Contact Information.

1. First and Last Name:(required)
2. Email(valid email required)
3. Email2:
4. Address(physical):
5. Contact Numbers:
6. Phone:
7. Cell:

Are you Blind?:

2. Yes No

If Yes, Client of?:

1. CVI
2. VRS
3. Vocational
4. Other

What are your primary interests?:

1. Employment
2. Accessibility
3. Mobility
4. Fundraising
5. Youth and Education
6. Legislative
7. Athletics/Fitness
8. Other, please specify:

Information Sources:

1. Info Link
2. Braille Monitor
3. News Line

 

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