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DbI of the Americas Membership Registration
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* Indicates required question
Email
*
Your email
Preferred Language
*
English
Spanish
Portuguese
French
ASL
***English is my second language
Other:
Mr.
Mrs.
Ms.
Dr.
Other:
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Name
*
Your answer
How many years of experience do you have working with individuals who are deafblind?
*
Your answer
Organization:
*
Your answer
Title:
*
Your answer
Phone number or WhatsApp contact:
Your answer
Country:
*
Your answer
State/Province:
*
Your answer
City:
*
Your answer
Postal Code:
*
Your answer
Affiliation to individuals who are deafblind
*
Family Member
Individual who is deafblind
Teacher of Students who are Deafblind
Consultant
Teacher
Intervener/Intervenor
Administrator
Therapist/Service Provider
University Faculty
Interested Person
Other:
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Are you registered as a member of DbI?
*
Yes
No
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