NFBL State Convention Pre-Registration

 

Please complete one form for each registrant.

After submitting a form for each registrant, you may choose to pay online by going to our Store or sending a payment (checks payable to National Federation of the Blind of Louisiana) to the following address:

             National Federation of the Blind of Louisiana

            Attn:  State Convention Pre-registration

            101 South Trenton

            Ruston, LA71270

 Payments must be received by March 8th, 2019.

Hotel reservations must be made with Clarion Hotel by calling 318-747-0711 by March 14th.  Convention rates of $69 per night (plus tax).

 

First and Last
Are you currently presently an NFBL chapter member? *
If you are not a chapter member, would you like to join?
Are you a parent or a grandparent of a blind child? *
Are you a teacher or a para-professional of a blind or visually impaired child? *
Are you a rehabilitation counselor? *
Are you a blind/visually impaired student? *
Are you a blind/visually impaired senior? *
Are you currently receiving the Braille Monitor each month? *
If you are not currently receiving the Braille Monitor, would you like to receive the free literature?
In what format would you like to receive the Braille Monitor?
Are you signed up for NFB-NEWSLINE services? *
If you are not signed up for NFB NEWSLINE services, would you like to be?
What is your preferred agenda format? *
Are accommodations needed for hearing impairment/deaf-blindness? *
Is childcare needed? *
Is transportation needed? *
Is this your first NFBL State Convention? *
Will you be attending than Banquet? ($30.00 each) *
Will you be paying chapter dues at this convention? *
If you are paying chapter dues at this convention, which chapter will you be joining?

We can't wait to see you at convention!