Arizona Council of the Blind
2012 Annual Membership Convention
Registration Form

Please complete one form per person. Do not include multiple registrants on the same form. If you need additional copies of this form, feel free to make copies or download additional copies from our website, http://www.azcb.org , or you may register and pay online by going to the website.

PAYMENT – If mailing payment please make checks and money orders payable to the Arizona Council of the Blind or AZCB and include a a copy of online or hard copy registration form.. You may pay for multiple registrants with one check or money order. You may register online and mail check or money order.

INSTRUCTIONS FOR MAILING REGISTRATION FORMS AND/OR PAYMENTS - Send your completed Registration Form and payment to the following address.

Arizona Council of the Blind, Inc
2012 Convention Registration
3124 East Roosevelt Suite 4
Phoenix, AZ 85008

Hotel reservations must be made with the hotel directly.

Thank you for your interest.

Continue to AzCB Convention Registration Form.