FCB Membership Application

Thank you for your interest in, and support of, Florida Council of the Blind.

You may download the MS Word Membership Application here.
Or complete the online Membership Application below.

For either method, please make a check made to FCB and mail to:

Membership Secretary,
Sally Benjamin
1009 Concord Road, Apt. 116
Tallahassee, FL 32308

For any questions you may call 850-980-0205 or email membership@fcb.org.

FCB Membership Application
Member Status *
VISUAL STATUS *
Format for White Cane Bulletin *
Format for Braille Forum *
Chapter/Special Affiliate Name and Number *
Secondary Chapter/Special Affiliate Name and Number
Are you a patron of the Talking Book Library? *
Are you a Chapter or State Officer? *
Gender:
Race or Ethnicity