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Organizations FOR The Blind.

Update Listing Form.

     Use this form to update information about your organization's current 
listing. You must fill in 

1.   Your name.
2.   E-Mail address.
3.   Password (if any).
4.   Your organization's name.

Then please fill in only those items that have changed.


* Do you work for this organization?
___Yes - I work for this organization. 
___No - I don't work for this organization.
* Contact's Name: __________
* Contact's E-Mail: __________
  Password: __________
  Organization Web Site URL: http://_________________________
  Organization Name: __________
  Suite #: 
  Organization Street Address:
  P. O. Box: __________
  City: __________
  State: __________
  Zip Code: __________
  Country: __________
  Voice - Phone: (___)___-____
  TDD - Phone: (___)___-____
  TOLL FREE - Phone: (___)___-____
  FAX - Phone: (___)___-____


E-Mail 

     You can list up to 5 E-Mail addresses. You can also provide a 
description or person's name for each of the 5 E-Mail addresses. 

E-Mail:   Name or description - name@organization.com
E-Mail 1: 
E-Mail 2: 
E-Mail 3: 
E-Mail 4: 
E-Mail 5: 


Organization Description.

     Your organization description must meet the following requirements 
and may be edited for length and/or clarity. 

1. Be no more than 75 words. 
2. Should only describe the products available and avoid hyperbole. (Like 
the plague ... or was that cliches. :) ) 


Organization Publications.

     List the publication(s) produced by your organization ; catalogues, 
brochures, magazines, newspapers, etc. Include the name and how often each 
is published. Please put one publication per line or separate multiple 
items with a blank line. This list is not intended for listing articles 
published by individuals or organizations in journals, magazines, 
newspapers or other periodicals. 

1. 
2. 
3. 
4. 
5. 


Type of services provided.

Choose all that apply. 

___  Rehabilitation Center - teaching mobility, living, and other skills.
___  Residential School - complete education courses. 
___  Guide Dog School - Training guide dog teams. 
___  Other - please specify. _________________________
                                               

Comments: 


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