2022 NCADB MEMBERSHIP & SUBSCRIPTION ANNUAL FORM APPLICANT INFORMATION Name: Spouse/Partner: Current address with Apt. number, city, state and zip: Email: Home phone: TDD, VP and/or Voice? MEMBERSHIP AND SUBSCRIPTION DUES Choose one: $10 : Single General Membership $15 : Couple General Memberships $10 : Newsletter Subscription ONLY (Non-member) $10 : Out of State Membership Optional: ---- Check here if prefer to receive the newsletter by hard copy mail. Choose print type: Braille, Large Print (LP) or Regular (R) DUES SUMMARY Membership(s): $---- Subscription: $---- Donation (Optional): $---- (Donation goes to NCADB General Fund ? Thank You) TOTAL: $ ---- Please mail completed form with your payment to: NCADB Attn: Membership P.O. Box 5154 Concord, CA 94524 We accept payment through mobile or online using PayPal or Cash App. See below how to send payments to: PayPal: ncadbtreasurer@gmail.com Cash App: $NCADB NCADB welcomes anyone to join the longest running deaf-blind organization in the country. Being part of NCADB, everyone will receive invitations to all community recreational and social events, and general meetings. General Membership: Any individual (deaf-blind or sighted) who resides in California State. He/She can participate in all aspects of NCADB, from sitting on the Board to participating in various events. This includes the right to vote at General Meetings. Couple General Memberships: Same privileges as General Membership but receives discounted membership dues Newsletter Subscription Only: Likes to stay informed about what?s happening with NCADB, receive newsletters and notifications about future events. Unlike the General Membership, he/she doesn?t have the right to vote at General Meetings. Out of State Membership: Any individual who does not reside in California (outside of California). He/She wants to support NCADB - same as General Membership but unable vote in person at General Meetings.