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Newsline, a Service of the National Federation of the Blind
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NFB Home Page

NEWSLINE Application



Please fill out the application completely.


To Contact NFB NEWSLINE Write to:
NFB Newsline, 1800 Johnson Street, Baltimore MD 21230
Phone: (410) 659-9314, FAX: (410) 685-5653
Web Site: www.nfb.org
E-mail: nfb@nfb.org
  Name:
First
MidInit
Last
 
  Address:
Street1
Street2
City
State
Zip Code
 
  Contact:
Home Phone as 888-555-1212
Work Phone as 888-555-1212
E-mail (include a valid E-mail address if you wish to receive a response by e-mail.)


  Eligibility
Check at least one of the following verifying agencies that will confirm your visual disability.
I am registered at a state or private vocational rehabilitation agency for the blind.
Name of agency:
I am enrolled in a public school special education program for the blind or state residential school for the blind.
Name of school:
I am enrolled with a Library for the Blind and Physically Handicapped.
Name of Library:
Other
If you have checked "Other," please contact our offices for the additional documentation requirements necessary to complete this application.
  Required Certification:
I certify that I am blind / visually impaired and unable to read a printed newspaper, and that all the information that I have provided here is true.



National Federation of the Blind, 1800 Johnson Street, Baltimore, MD 21230