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NFBNJ Affiliate Membership Renewing Member Form

Renew your membership and continue to join us in raising expectations and creating opportunities for the blind across New Jersey.

The National Federation of the Blind of New Jersey (NFB of NJ) is a volunteer‑driven 501(c)(3) membership organization dedicated to advocacy, equality, and opportunity for blind people. We know that blindness does not define us or our future. Together, through collective action, we work to remove barriers, raise expectations, and demonstrate that blind people can live the lives we want. By renewing your membership, you are reaffirming your place in a supportive community committed to transforming lives and shaping a brighter future.

Membership dues are $10 per calendar year, and you may pay for up to two calendar years at a time. Your dues help sustain the programs, advocacy, and outreach that make a difference across New Jersey. Only members have the right to vote, hold office, and be appointed to leadership roles within the organization, ensuring that your voice helps shape our work.

If you’ve already paid by check or money order, please complete this form for our records—no additional payment is required for the current year. Dues paid between October and December will automatically be applied to the following calendar year. Please note that refunds will not be issued for mistaken submissions. Membership is limited to New Jersey residents only.

For more information, contact Linda Melendez, Affiliate President, at 908-590-1747.

Contact Information

First Name First Name

Last Name Last Name

Street Address Street Address

Street Address Line 2 Street Address Line 2

City City

State State

Postal Code Postal Code

Best Contact Phone Number (Mobile Preferred) Best Contact Phone Number (Mobile Preferred)

Email Email

Confirm Email Confirm Email

I understand that this membership form is for the National Federation of the Blind of New Jersey's Affiliate Membership

I understand that a refund will not be issued for a mistaken submission.

Are you a blindness professional? Are you a blindness professional?

Please designate which area of profession you work in

Orientation & Mobility Instructor

Teacher of Blind Students

Rehabilitation Instructor

Other…

Enter other…

Are you a guide dog user? Are you a guide dog user?

Do you use a white service cane? Do you use a white service cane?

Birth Date Birth Date

Prefered Media Format Prefered Media Format

This information is for the NFB national office's information only for the Connections database.

Prefered Contact Method Prefered Contact Method

Do you want to join one of our committees while completing this form?

Yes

Which NFB of NJ committee(s) do you want to join?

Seniors Committee

Students Committee

Technology Committee

Do you want to join one of our groups while completing this form?

Yes

Which NFB of NJ group(s) do you want to join?

Braille Group

Diabetic Group

Guide Dog Group

Which NFB of NJ group(s) you would be interested in joining if established?

Sports & Rec Group

Other

None

If other group(s) you want to join if established, please list If other group(s) you want to join if established, please list

Code of Conduct Agreement

By checking this checkbox, I fully acknowledge and verify that I read and understand the Code of Conduct of the National Federation of the Blind; and will abide by its policies, standards, and principles during this National Federation of the Blind sponsored event.

As a member of the National Federation of the Blind and the National Federation of the Blind of New Jersey, I understand that I represent both myself and our greater organization. While I am encouraged to socialize and build friendships, I also recognize that membership provides an opportunity to continue the work of the Federation, learn about important initiatives, and help plan our future.

The Federation is committed to an environment of mutual respect and professionalism, where diverse members, speakers, staff, and volunteers may learn, network, and enjoy one another’s company. To uphold this environment, the following behaviors are prohibited:

Harassment or intimidation based on identity, including race, religion, ethnicity, language, gender, sexual orientation, gender identity/expression, disability, or appearance.
Sexual harassment, including unwelcome attention, stalking (physical or virtual), or unsolicited physical contact.
Public drunkenness or disruptive conduct, such as belligerence, yelling, hostility, or destruction of property.

Members are expected to follow these standards in all Federation settings—in person, online, and on social media—and to comply immediately if asked to stop inappropriate behavior. We are committed to diversity, equity, and the free expression of ideas. Please visit https://nfb.org/code-conduct for more information.

Fragrance Free Policy

The National Federation of the Blind of New Jersey's goal is to be sensitive to members with perfume and chemical sensitivities who, as a result, may suffer potentially serious health consequences. In order to address this concern, members and participants at conventions and other meetings should refrain from wearing scented products, including, but not limited to perfumes, colognes, aftershave lotions, or similar products. We want to ensure full participation in all of our state-wide activities.

Legal Coordination Policy Agreement

It is the policy of the National Federation of the Blind that any state affiliate or national division is required to seek approval of, and coordinate with, the national President prior to seeking legal actions, governmental complaints, or demand letters using the name of the National Federation of the Blind or any variant thereof. Furthermore, local chapters or divisions within state affiliates will similarly not be permitted to seek legal action on behalf of the organization without prior approval from both the national President and the state affiliate president who will be responsible for coordinating with the national President. State affiliates, national divisions, and local chapters or divisions may not take legal action without approval from the national President and may not commit the resources of the National Federation of the Blind to legal action without approval from the national President. The National Federation of the Blind has the right to approve any attorneys, including the state protection and advocacy organization, used by any state affiliate, national division, or local chapter or division, whether paid for by the National Federation of the Blind or by said affiliate or division. Any unauthorized legal action taken by a local chapter or division, state affiliate, or national division using the name National Federation of the Blind, or any variant thereof, or implying the support of the organization, will be grounds for disciplinary action by the NFB Board of Directors or the National Convention.

Payment

NFBNJ Affiliate Membership Dues

Price: $10.00

I've pre-paid my membership for the current calendar year

Total Total

Payment Method Payment Method

If you have pre-paid your membership dues for the current calendar year, please select prepayment as your payment method.

You can pay using PayPal, or a credit or debit card.

If paying via check or money order, please make the check or money order payable to NFBNJ with "affiliate dues and year" in the memo field.

Please send to:
National Federation of the Blind of New Jersey
PO Box 2202
Vincentown, NJ 08088

Thank you again for paying your membership dues to the National Federation of the Blind of New Jersey to become an Affiliate Member.

NFBNJ Affiliate Membership Renewing Member Form

NFBNJ Affiliate Membership Renewing Member Form

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