NFB Event Registration Form

National Federation of the Blind National Convention Registration: Primary Registrant - Optional

Thank you for considering preregistration for convention this year. When purchased online by May 31st, the preregistration fee for convention is $25 ($30 on-site) and the cost of a banquet ticket is $65 ($70 on-site).
To mail in your preregistration please download the pdf version and mail to us no later than May 31st.
Please Note: All convention preregistration and banquet sales are final. No refunds will be provided.

First Name *

Enter your first name.

Last Name *

Enter your last name.

Email *

Enter your email address.

Location Type *

Select location type for your address.

Address Line 1 *

Enter your address line 1.

Address Line 2 - Optional

Enter your address line 2.

City *

Enter your city.

Country *

Select your country.

State/Region/Province *

Postal Code *

Enter your postal code.

Phone - Optional

Enter your phone.

I will pick up my packet myself

The following person will pick up my packet for me.

First Name - Optional

Enter pickup person's first name.

Last Name - Optional

Enter pickup person's last name.

Is this your first convention?

Pre-Registration $25 *

Set quantity of Pre-Registration if participant will participate.

Pre-Registration Banquet $65 - Optional

Set quantity of Pre-Registration Banquet if participant will participate.