Future Reflections
The National Federation of the Blind Magazine for Parents of Blind Children
1800 Johnson Street * Baltimore, Maryland 21230
(410) 659-9314 * www.nfb.org * BCheadle@nfb.org
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. I understand this inludes a 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.___________________________________________________________________
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