Membership Renewal Joining or Renewing your Membership in the Arizona Council of the Blind (AZCB) Membership registration and payment. 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) Salutation Dr.MissMr.Mrs.Ms.Prof.Rev. First Name Middle Name Last Name Suffix TitleBirthday MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberSelect the month for your birth date.Gender(Required)FemaleI identify as a FemaleMaleI identify as a MaleNonbinaryOtherPrefer not to answerI identify as …Ethnicity(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) Address 1 Address 2 City State/Province Zip Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Email Address(Required) Enter Email Confirm Email Home PhoneMobile PhonePreferred Contact Methods (Select all that apply)(Required) Email Home Phone Mobile Phone Select AllSelect all the ways you’d like us to reach you.Vision Status(Required)Identify as BlindIdentify as Visually ImpairedIdentify as SightedBF Format(Required)BrailleDigital CartridgeEmailLarge PrintNoneThe Braille Forum is the magazine from the ACB national organization. We need to know which format you prefer to receive the magazine in for your reading pleasure.Preferred Mail Format(Required) None Large Print Braille Membership Type State (At-Large) State + Central State + Southern State + All Chapters Lifetime Junior (Under 18) Junior Membership Chapter Selections Central Chapter Southern Chapter All Chapters As a junior member you can join a number of chapters that are a part of the Arizona Council. select the options below and your dues price will be adjusted as selected.Lifetime Chapter(Required) Central Chapter Southern Chapter Additional Donation If you would like to add a donation feel free to enter an AmountPayment Method(Required) Stripe 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 box Review your submission {all_fields}Total Credit Card
