The National Federation of the Blind
                             1800 Johnson Street
                          Baltimore, Maryland 21230
                            General Donation Form


(Please Print) Name: _________________________________________________________

Street address: _____________________________________________  Apt. __________

City: ________________________________________________________________________

State: ____________________________________________  Zip: ____________________

Home Phone: (_____) ____________________  Office: (_____) ____________________

I'm making my donation by the following method:

____  Enclosed personal check   ____ Enclosed money order
____  Credit Card:  ____ VISA   ____ Master Card   or ____ Discover

     Signature: _____________________________________  Date: _________________

     Card Number: ___________________________________  Expires: ______________

in the amount of $_____________ to support the continuing work of the National 
Federation of the Blind.

____ My donation is made in memory of 

______________________________________________________________________________

____ Acknowledgement of my gift should be sent to:

(Please Print) Name: _________________________________________________________

Street address: _____________________________________________  Apt. __________

City: ________________________________________________________________________

State: ____________________________________________  Zip: ____________________

____ I do not wish any acknowledgement sent.

____ Please contact me to discuss my giving plans.

____ Please send more information about the National Federation of the Blind.

MAIL TO:

National Federation Of The Blind
1800 Johnson Street
Baltimore
Maryland 21230
(410)659-9314

"My generation of blind adults must work to help today's blind children, like 
my friend Cherranne, have better opportunities than we had when we were 
growing up." -- Kenneth Jernigan, President Emeritus.