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AFBAmerican Foundation®
for the Blind

Expanding possibilities for people with vision loss

AFB Leadership Conference Registration 2017

 
 
2017 AFB Leadership Conference Main Page 
 

Registrant Information

 

 
Participants will receive a link to a Dropbox folder that will contain the agenda, program and handouts. The agenda and program will be available in print. If you need an alternate format (requests for braille and large print must be submitted by 2/1/17), please select one preference below:: 
Please tell us about your accessibility needs and we'll do our best to accommodate you. Interpreter requests must be made by 2/13/17. 

 

Access Awards Reception — 4:30-6:00 p.m. on Friday, March 3  

Join us for light hors d'oeuvres and drinks as we celebrate our 2017 Access Award recipients. There is no charge to attend.

 

Migel Medal Luncheon — 12:45-2:30 p.m. on Saturday, March 4  

Join us for the presentation of the highest honor in the blindness field. This sit-down meal includes an entree, dessert, and beverage. Attendance is optional. Cost: $15

 
 
 
 

Light hors d'oeuvres and drinks will be served during the Access Awards Reception . A lunch will be served during the Migel Awards event.
 

AFB Leadership Conference Registration Fees

 
Conference Fees 
One day: $150 (After February 10 $175) 
Two days: $225 (After February 10 $260) 
Three days: $275 (After February 10 $325) 
 
Please select the days you plan to attend: 
 
 
 

Payment by Purchase Order or Check

 
Checks: Please make checks payable to the American Foundation for the Blind (AFB Leadership Conference). 

Purchase Orders: State agencies may use a purchase order if necessary. 

If you have chosen to pay by check or purchase order, please print out this page and mail it in with your payment. We will send a confirmation e-mail once the payment process is complete.

You may combine multiple participants onto one check or purchase order, but please print out a separate registration form for each person. We will send an invoice for those sending purchase orders.

 

Please mail to:
Patsy Carvache
AFB
1000 Fifth Avenue,
Suite 350
Huntington, WV 25701

 
If you have any questions, contact Kevin Dougherty by e-mail at kdougherty@afb.net. 
 
If you have selected to pay by purchase order or check, please skip the credit card section below, and go right to the Continue button. 
 

If Paying by Credit Card, Please Provide the Information Requested Below

 
The verification number is a 3-digit number printed on the back of your card. The American Express verification number is a 4-digit number printed on the front of your card. 
 
 

You will have a chance on the next page to confirm your purchase. You must hit "continue" in order to complete your registration. After your registration is complete, you will receive an e-mail from AFB, which will serve as your receipt. If you have any concerns, or if you do not receive the e-mailed receipt, please contact Kevin Dougherty by e-mail at kdougherty@afb.net. 

* Cancellation Policy: In the event that you need to cancel your registration, you must cancel by February 10, 2017, for a full refund.  
 
Participation or attendance at programs or events sponsored by the American Foundation for the Blind (AFB) during the AFB Leadership Conference constitutes: (a) the voluntary consent of the participant or attendee to be photographed, filmed or videotaped by AFB or its representatives and (b) permission to the reproduction and use of all such photographs, digital images, films and likenesses for publicity purposes in publications, brochures, advertisements, promotional and marketing materials and all other media venues including the World Wide Web, all without further notice or compensation to participant or attendee who hereby releases to AFB all proprietary rights and copyrights in all such photographs, digital images, films and likenesses (including negatives, positives and prints) which shall be and remain the property of AFB 
 
 
 

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