MEMBERSHIP FORM 2018

Council of Citizens with Low Vision International

2018 Membership Form



We are excited to see you have an interest in the Council of Citizens with Low Vision International. Our membership year is from January 1 through December 31 of each year. If you are joining CCLVI for the first time and it is after July 31 your membership is good for the remainder of the current year plus for the upcoming year. If you are a current member paying your annual dues for the upcoming year we thank you;


Please answer each question on the form.

MEMBER CONTACT INFORMATION:
MEMBERSHIP AND AFFILIATES:

If you are in an area were we have an affiliate we would like you to make contact with them to introduce yourself.

California Council of Citizens with Low Vision:

Contact: CCCLV President at ccclv@cclvi.org

Delaware Valley Council of Citizens with Low Vision:

Contact: DVCCLV President at dvcclv@cclvi.org.

Florida Council of Citizens with Low Vision:

Contact: FCCLV President at fcclv@cclvi.org.

Kentucky Council of Citizens with Low Vision:

Contact: KCCLV President at kcclv@cclvi.org.

Metropolitan Council of Low Vision Individuals:

Contact: MCLVI President at mclvi@cclvi.org.

New York State Council of Citizens with Low Vision:

Contact: NYSCCLV President at nyscclv@cclvi.org.

PUBLICATIONS OFFERED TO MEMBERS OF CCLVI AND ACB:

CCLVI offers "Vision Access" to it's members three time a year. As a member of CCLVI you will also receive ACB's "Braille Forum". Please choose the formats you would like these publications to be sent to you in.

Payment method: