Membership for 2012 season due April 1st 2012
All Members, full or associate - $40.00 if received by due date of April 1, 2012 NOTE: $50.00 if submitted after due date To mail in your membership please download the PDF.
* Name
* Address
* City
* Post Code
* Email
* Phone
* Birth Date
* CNIB Number
* Vision Level (select) Fully Sighted High partial -B3 Low partial -B2 Blind -B1
* Member Type (select) Full Member Associate Member
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