Meet the Blind Month Material Order Form The following is a list of free materials available through the Independence Market. Please indicate the quantity needed to the right of each listed item. If you do not need an item, please type a zero or leave the text box empty. Once you have completed the form, please submit it by e-mail to mbaugh@nfb.org or by fax to (410) 659-5129. You will receive an e-mail confirming the submission of your order. Please allow one month for the processing of your order. Call (410) 659-9314 extension 2371 if your event is less than seven business days away, if the order is larger than five hundred pieces per item, or if you are unsure as to what to order for your event. Required field(s) are indicated by an *. * Contact Name: * E-mail: * Phone number: * Event Date: *Address: Address 2: * City: * State: * Zip Code: Please choose from the list of material below. Indicate the quantity needed by placing a number in the text box located to the right of each listed piece of literature. Braille alphabet cards: What is the National Federation of the Blind? Brochures: Do You Know a Blind Person? Brochures: NOPBC Brochures: Are You a Senior Struggling with Vision Loss? Brochures: NFB Jernigan Institute Brochures: NEWSLINE Brochures: NEWSLINE Applications: Blind Veterans Brochures: Is Your Diabetes Getting Complicated? Brochures: Meeting a Working Guide Dog Team Brochures: NFB Link Brochures: Straightforward Answers About Blindness Brochures: Jake and the Secret Code children’s video: Please note that Kernel books come in boxes of fifty of the same title. Please choose a title(s) from the linked list of books found on the Meet the Blind Month Independence Market homepage. If a number with no title is listed, the title(s) will be randomly selected by the Independence Market. Kernel Books: Text-to-Give cards come in packages of fifty. Please order by the pack. Text-to-Give: Please indicate if you would like the following Who’s Whozit Packets in large print or Braille. Each packet accommodates 20 students. Who’s Whozit Packet (Grades K-2): Who’s Whozit Packet (Grades 3-5): Who’s Whozit Packet (Grades 6-8): Who’s Whozit Packet (Grades 9-12): Please submit to Mika Baugh: E-mail: mbaugh@nfb.org Fax: (410) 659-5129