State Convention Registration Form

Please complete the following registration form for the 2023 National Federation of the Blind of Tennessee State Convention.

How many people are you registering? *

(including yourself)

Fill in your registration information on this page. You will be able to enter the registration information for additional people after you complete this page and click "Continue".

Your Registration Info

First Name *

Last Name *

Country *

Street Address

City *

State *

Postal Code *

Phone *

Email Address *

Are you a member of the NFBTN? *

Yes No

What Chapter and or Division are you a member of?

At-Large Chapter Clarksville Chapter Volunteer Chapter Memphis Chapter Nashville Chapter Scenic City Chapter Southeast Chapter Tennessee Valley Chapter Upper Cumberland Chapter TABM Division TAGDU Division Seniors Division Parents Division

Code of Conduct Agreement *

I agree to abide by the National Federation of the Blind Code of Conduct during this event

Do you require any accommodations to participate?

Event Fee(s)

State Convention Fees

Registration Fee - $ 15.00

Banquet Ticket - $ 40.00

Total for this participant

Payment Options

Payment Method

Tennessee PayPal I will send payment by check