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REGISTRATION - Virginia Association Blind Students
This form is to register and pay dues for membership. Dues are $5.00. When you pay dues, you are eligible to vote and run for an elected position. Paid dues will count for the 2022-2023 term.
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Best E-mail address
*
Your answer
Best Contact Number
*
Your answer
Are you a student?
*
Yes
No
Are you a current Project RISE Student?
*
Yes
No
Are you in High School or College or University or Technical School
*
High School
College/University/Technical School
Nor Applicable
If you are a student, what is the name of High School, College, University or Technical School that you attend? (Pllease include the city and state)
Your answer
What is your major (if applicable)?
Your answer
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