Mountain State Council of the Blind, Inc.
P. O Box 4006, Morgantown, WV   26504

2017 Membership Form

In order to update our records, it is important to return a completed form, making sure to fill in the format preferences and visual status for each person.

Please make extra copies to share with others.

Choose one of two ways:

  1. Use the below online form and pay via PayPal. Please share the link of this online form with others.
  2. Download the Membership Form below, print, complete, and make check or money order payable to MSCB.  Return it with appropriate dues to Ninetta Garner, MSCB Treasurer, PO Box 4006, Morgantown, WV 26504, or email to

Payment for any category of membership should include this completed form, dues and any donations.

Call Kevin Maynus, MSCB President, at 304-222-1807 or Ninetta Garner at 304-381-2729 for more information.


Online Membership Form

Member information
PREFERRED FORMAT for MSCB newsletter and information:
Dues and Donations
Please select one membership category that applies:
Donations (Please specify):
MSCB is an IRS 501(c)(3) nonprofit organization. Donations are tax deductible.