Membership Application To become a member, simply fill out this form. Then pay with PayPal or by check, on the page after you click “submit”. PLEASE NOTE: NDAB will not disclose your personal information without your permission. Membership Type New adult memberNew junior memberReturning adult memberReturning junior member First Name Last Name Address City State North Dakota - NDAlabama - ALAlaska - AKArizona - AZArkansas - ARCalifornia - CAColorado - COConnecticut - CTDelaware - DEFlorida - FLGeorgia - GAHawaii - HIIdaho - IDIllinois - ILIndiana - INIowa - IAKansas - KSKentucky - KYLouisiana - LAMaine - MEMaryland - MDMassachusetts - MAMichigan - MIMinnesota - MNMississippi - MSMissouri - MOMontana - MTNebraska - NENevada - NVNew Hampshire - NHNew Jersey - NJNew Mexico - NMNew York - NYNorth Carolina - NCOhio - OHOklahoma - OKOregon - ORPennsylvania - PARhode Island - RISouth Carolina - SCSouth Dakota - SDTennessee - TNTexas - TXUtah - UTVermont - VTVirginia - VAWashington - WAWest Virginia - WVWisconsin - WIWyoming - WYAmerican Samoa - ASDistrict of Columbia - DCFederated States of Micronesia - FMGuam - GUMarshall Islands - MHNorthern Mariana Islands - MPPalau - PWPuerto Rico - PRVirgin Islands - VI Zip Code E-Mail Primary Phone Cell Phone Preferred method of contact Gender FemaleMaleother Race/Ethnicity (required): Black or African AmericanHispanic or LatinoMiddle Eastern or North AfricanSouth AsianAsianMultiracial or multiethnicNative American or Alaska NativeNative Hawaiian or other Pacific IslanderWhite-Anglo-CaucasianOtherI prefer not to answer Date of Birth Vision Status BlindVision ImpairedFully Sighted The Promoter is the official publication of the NDAB. It will keep you informed on what the NDAB and its members are doing. As a member, you will receive The Promoter every quarter. Please pick the format you would like to receive this newsletter. NDAB Promoter format EmailLarge PrintBrailleDigital CartridgeNone The ACB Braille Forum is the official publication of the American Council of the Blind. Since the NDAB is an affiliate of the ACB, you automatically become a member and receive this monthly newsletter. Please indicate which format you would like. ACB Braille Forum Format EmailLarge PrintBrailleDigital CartridgeNone Submit Form and Pay by Check or PayPal Δ