[NFBMO] Convention Packet

GeneCoulter at Charter.net GeneCoulter at Charter.net
Mon Feb 1 17:38:52 UTC 2021

National Federation of the Blind of Missouri
59th Annual Convention, March 26-28, 2021

Please use one form per residence. Several registrations may be combined on one check if they are sent together. Sorry no refunds unless the event is cancelled.
Registrant Name: ________________________________________________
Second registrant: _______________________________________________ 
For CURRENT members of the NFB of Mo that are in good standing please provide a UNIQUE phone number that you will be using to cast your votes with.
1st. Registrant Phone: __________________________________________
2nd. Registrant Phone: __________________________________________              
Street Address: __________________________, Apt.: ________
City: ______________________, State: ____, Zip Code: _________
Phone Number: ______________, Email: _____________________ 
Select preferred agenda format: 	__ Braille, ___ Print, ___ Electronic
Desired Blind Missourian format: ___Print, ___Email, ___Thumb Drive, __None
Desired Braille Monitor format: ___Print, ___Email, ___Thumb Drive
Select the items or events that you would like to purchase below:
Convention Registration: prior to March 10, 2021
Number of registrants: ___ at $10.00 		             	          Total: $______
                                                Total amount enclosed:   $______
IMPORTANT: There will be no late registration this year so all participants must register, in advance, by the March 10 deadline.
Add amounts on all forms enclosed and make your check payable to: NFB of Missouri. Please mail to: Carol Coulter, 1504 Furlong Drive, Columbia, MO 65202.  	

Please Note
All registrants will be contacted within 24 to 48 hours prior to the start of convention with the  Zoom log-in information.  For security reasons we ask that you do not share this log-in information with anyone.

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