NFB of Nebraska Membership and Dues Form

Please provide the following information and pay any associated dues to become a member of the National Federation of the Blind of Nebraska.

Chapter or Division *

Lincoln Chapter - $ 10.00

Omaha Chapter - $ 10.00

Greater At-Large Chapter - $ 10.00

Nebraska Association of Blind Students - $ 10.00

Senior Division - $ 10.00

Fees *

PayPal Processing - $ 1.00

Total Amount

Membership Profile

First Name *

Last Name *

Mailing Address *

Address 2

City *

State *

Zip *

Phone *

Email *

Birth Date *

Agreements *

I agree to the NFB Pledge

I agree to abide by the Constitution

I agree to abide by the Code of Conduct

NFB of Nebraska Membership Form