Getting Started
Welcome to the Mountain State Council of the Blind
Please contact the President or Vice President of the Chapter closest to you. You are welcome to join any of the regularly scheduled meetings.
How to Join
At large members $10.00 annual
Local Chapter members $15.00
Call or write to see if there is a local chapter in your area. Donations are welcome. Make checks or money orders payable to
MOUNTAIN STATE COUNCIL
OF THE BLIND
PO Box 834
Ridgeley, WV 26753
Or you can make a payment through PayPal
Please return this form to your local chapter contact, or to Dennis Dennison,MSCB Treasurer
or
email to
This e-mail address is being protected from spambots. You need JavaScript enabled to view it.
for questions or information Call Donna Brown, MSCB President, at 304-822-4679 or Dennis Dennison, MSCB Treasurer at 304-738-8930.
Please Print:
NAME: _________________________________________________
ADDRESS (street): ________________________________________
CITY: _____________________ STATE: _____ ZIP: ____________
PHONE: ________________________________________
EMAIL: ________________________________________
I LIVE IN ____________________ COUNTY
st nd
PREFERRED FORMAT: (indicate 1 and 2 choice)
___Braille, ___email, ___large print, ___CD
I am _____Blind, _____Visually Impaired, _____Sighted
Please check all that apply:
MSCB Dues: $10.00
Local Chapter Dues: $5.00
Potomac Valley Chapter (Romney and area)
Tri-County Chapter (Eastern Panhandle area)
Vandalia Chapter (Morgantown and area)
We are in the process of starting a chapter in the Charleston area. If
you want to be contacted about joining, please check here: ______
MSCB Junior Member (12 to 18): $5.00
Junior Member Local Chapter: $2.50
Organization Support: $25.00
Donations (please specify): $___________
Barbara Fierst Memorial Technology Scholarship
Anna L. Hunt Memorial College Scholarship
General Expenses
MSCB is an IRS 501(c)(3) nonprofit charitable organization.
Donations are tax deductible to the fullest extent of the law.
TOTAL AMOUNT: $______________
Please make check or money order payable to MSCB and return as indicated
above. We also accept payment through Paypal
Would you like to be included in our members-only (information not released) directory? ____Yes ____No
Thanks for joining MSCB!

