Future
Reflections
The National Federation of the Blind
Magazine for Parents of Blind Children
1800 Johnson Street * Baltimore, Maryland
21230 * (410) 659-9314
New Subscriptions *
Renewals * Address Changes
Date:
________________________Phone number(s):________________________________
Name:_________________________________________________________________________
Address:____________________________________________________________________
City:___________________________________State:______________Zip:____________________
Name of
child:________________________________________Birth date:_________________
[ ] Parent
[ ]Teacher [
]Other_____________________________________
[ ]$8.00 Subscription and family membership in
the National Organization of
Parents of Blind Children
[ ]$15.00 Non-member subscription
This is a:
[ ]New Subscription [
]Renewal [ ]Address or other change
I prefer the
following format(s): [ ]Large
print [ ]Cassette tape [ ]Both
Changes: Please print old or
duplicate name and/or address as it appears on your magazine label in the space
provided below. Please let us know if this is an old name/address to be changed
to the one given above, or if it is a duplicate that you wish deleted.
_________________________________________________________________________
_____________________________________________________________________