Become a Member of Blind Beginnings

Annual memberships are available for three levels;

• Individual : $10
For persons who are blind or visually impaired or family members or close friends of persons who are blind or visually impaired.

• Family : $25
Includes all immediate members of a family of a child (birth to nineteen) who is blind or visually impaired.

• Professional : $15
For professionals within the field of Visual Impairment,

If you want to become a Blind Beginnings member and vote at our AGM please complete the form below for your membership type.

Payment Options

We accept our membership payments through PayPal. You do not need a PayPal account to submit your payment, you can also use Visa or Mastercard. We also accept payment by cheque, mailing information is provided after you complete and submit the registration form below.

*Note: If you are a current member and wish to renew your membership, please click here to complete our Membership Renewal Form.

New Member Registration Form

MEMBER PROFILE: * Required for all membership levels.
Please select Payment Method:    PayPal    Cheque
First Name:
Last Name:
Street:
City:
Province:
Postal:
Phone:
Email:	(E-mail)
Please create a login password for your membership renewal:
Password:
Would you like to be added to our Mailing List?    Yes    No
How did you hear about Blind Beginnings? Friend/Family Organization Referral Search Engine
MEMBERSHIP OPTIONS:
Select your membership option and complete the corresponding section below: A. Individual : $10 B. Family : $25 C. Professional : $15
A. Individual Membership
Visual Impairment Diagnosis:	*Optional
Date of Birth:	*If 19 or younger
B. Family Membership
Child's First Name:
Child's Last Name:
Visual Impairment Diagnosis:
Child's Date of Birth:
Parent's Name(s):
Sibling 1:	Year of birth:
Sibling 2:	Year of birth:
Sibling 3:	Year of birth: *Please add additional siblings and year of birth to commment box below if required.
C. Professional Membership
Occupation:
Organization:
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