Membership Step 1 of 3 33% Welcome to the Arizona Council Membership FormAn AzCB membership provides you the following benefits: Supporting: Join our monthly online support group; learn and share with others about blindness. Gain access to the American Council of the Blind which offers daily Zoom programming from information and support for people new to vision loss, social chats, technology trainings, cooking, crafts, games, and much more. Attend in-person get-togethers, recreational events, and tours. Socializing: Join monthly, virtual, social gatherings to play games and have fun! Enjoy in-person get-togethers, recreational events, and tours. Attend holiday celebrations and events. Advocating: Work on advocacy projects to promote fair treatment under local and national laws and policies. Become a leader in AzCB. Share your opinion to help shape the strategic course of AzCB and ACB. Networking: Learn about access to assistive technology. Connect with other support agencies and services in the community. Meet new friends who will benefit from your support. Membership InformationMember Name(Required) First Middle Last Birthday MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberSelect the month for your birth date.Gender: I identify as…(Required)FemaleI identify as a FemaleMaleI identify as a MaleNonbinaryOtherPrefer not to answerEthnicity(Required) Asian Black or African American Hispanic or Latino I prefer not to answer Middle Eastern or North African Multiracial or Multiethnic Native American or Alaska Native Native Hawaiian or other Pacific Islander Other South Asian White – Anglo-Caucasian Street Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Email(Required) Home PhoneMobile PhonePrimary Contact method(Required) Email Home Phone Mobile Phone Vision Status(Required)Identify as BlindIdentify as Visually ImpairedIdentify as SightedBraille Forum Format(Required)BrailleDigital CartridgeEmailLarge PrintNonePreferred Mail Format(Required) None Large Print Braille AzCB Dues Price: Chapter Dues Central Arizona Council for the Blind (CAzCB) $5 Southern Arizona Council for the Blind (SAzCB) $5 Junior Member ($3) Life Member ($150) Central Arizona Council for the Blind (CAzCB), $5 Price: Southern Arizona Council for the Blind (SAzCB): $5 Price: Junior Member: $3 Price: Life Member: $150 Price: Payment Method(Required) PayPal Check by mail Select a payment method.Are you paying on behalf of another member? Yes Payer information(Required)If you are paying on behalf of a member, please ensure their information is above and your name is in this boxAre You A Current Member of AZCB? Yes, I am renewing my Membership. No, I am a new member Review your submission {all_fields}Additional Donation If you would like to add a donation feel free to enter an AmountTotal
