Subscriptions, Etc.

Subscriptions, Etc.

Future Reflections

the National Federation of the Blind

Magazine for Parents of Blind Children

New Subscriptions, Renewals, Free Literature, Address Changes,

and Membership Dues

[ ] Please send me a FREE Parents Information Packet. This

packet of literature includes a paperback size Future

Reflections Introductory Issue. It also includes other

booklets with resource, educational, and inspirational

information about blindness and blind children.

ADDRESS CHANGE: Please attach mailing label with old address,

or write in former name/address below.

Date__________________________________________________

Name__________________________________________________

Name of child_________________________________________

Address_______________________________________________

City__________________________________________________

State__________________________Zip____________________

Phone_________________________________________________

Please check the appropriate boxes:

[ ]Parent(s) [ ]Teacher [ ]Other

[ ]New Subscription [ ]Renewal

[ ]Change of address/name

[ ]$8.00 Family membership in the National Organization of

Parents of Blind Children. Membership includes a Future

Reflections subscription.

[ ]$15.00 Non-member subscription

Check format desired: [ ]Print [ ]Tape

Amount enclosed: $_________________