Name:
Address:
Phone Number:
E-Mail Address:
Legally Blind: ____ Visually Impaired: ____ Fully Sighted: ____
Format for Braille Forum (ACB National’s Newsletter): LP__ Half Speed Cassette__ Braille__ E-mail__
Format for NJCB Chronicle: LP__ Cassette__ E-Mail__
Annual Dues: $10.00 due in January
Make check payable to NJCB and send to:
Robert Lucas, Treasurer
520 Ewingville Road
Ewing, NJ 08638-1410
President: John Vernon
whynot48@comcast.net