Future Reflections                                                                                Convention Report 2004

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2005 NOPBC Preregistration Packet

Send your request by mail, email, fax, or phone to:

NOPBC
1800 Johnson Street
Baltimore, Maryland 21230
bcheadle@nfb.org
Fax: (410) 659-5129
Phone: (410) 659-9314, extension 2361

Name: __________________________________________________________________        

Phone number: ___________________________________________________________

[  ] Yes, I am interested in learning more about the 2005 NFB Convention in Louisville.  Please send me a preregistration packet with the NOPBC-sponsored agenda of activities for 2005.

I prefer information by:

[  ] Mail: (Address, City, State, Zip)___________________________________________

________________________________________________________________________ 

[  ] Email: _______________________________________________________________   

[  ] Fax: _________________________________________________________________

Check all that apply--I am:

                                                • Parent 

                                                • Teacher

                                                • Other professional 

                                                • Blind adult 

                                                •Relative and/or friend of a blind child

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