MCB Membership Application

Ways to Join MCB

Join a Local Affiliate

The best option is to join one of MCB's 7 local affiliate branches providing support to visually impaired Missourians throughout the state. Search for a Local Affiliate near you.

Member at Large

If there is no affiliate near you, join as a Member at Large. You'll be a full member with access to all MCB programs. Annual dues: $20.

All MCB members are automatically full members of the American Council of the Blind (ACB).

Membership Program Details

Required field

Personal Information

First Name

Last Name

Phone

Date of Birth

Visual Status

Mailing Address

Address Line 1

Address Line 2

City

State

ZIP

Membership Type

Affiliate Member

Member at Large

Affiliate Name (if affiliate member)

Member-at-Large: leave blank.

Preferences

MCB Chronicle Format Preference

How did you hear about MCB?

Dues & Payment

Annual Dues

Standard: $20/year

Payment Method

Agreement

I agree to uphold the mission and values of the Missouri Council of the Blind and submit this application for membership consideration.

Download a Form

Printable PDF (PDF, 33 KB)Word Document (Word, 48 KB)

Fill in the Word document on your computer and email it to aa@moblind.org.

Mail with $20 check to:

Missouri Council of the Blind
5453 Chippewa Street
St. Louis, MO 63109

Allow 30 days for committee approval.

Member Benefits

ACB membership included
Adaptive Technology grants
White Cane Program
Health Benefits Program
Convention scholarships
MCB Chronicle newsletter

Questions?

(314) 832-7172

(800) 342-5632

moblind@moblind.org