Register for State Convention

First Name *

Last Name *

Country *

Street Address

State *

City *

Postal Code *

Phone

Email Address *

My primary language is Spanish (optional)

Yes No

Select chapters and divisions of which you are a member.

Salt Lake City Chapter Weber/Davis Chapter Utah Valley Chapter Red Rocks Chapter Utah Parents Division Spanish Division At Large Group Seniors Group Students Division Guide Dog Group Vendors/Sponsors

Do you need other accommodations?

If you need other accommodations, please contact nfbutah@gmail.com with any requests. Please give at least 30 days notice.

Event Fee(s)

Convention Registration *

affiliate membership Dues (Pay this to vote)

$1.00

Select how many of each meal you want. Example: If you want to buy Thursday Night Dinner for everyone in your family of four people, you would enter 4 in this box.

Thursday Night Dinner

$10.00

Friday Lunch

$10.00

Saturday Lunch

$10.00

Saturday night Banquet

$25.00

Total

Payment Options

Payment Method

Utah paypal I will pay later