Future Reflections                                                                                         Spring, 2002

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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   *   nfb@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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