Skip to main content

SOUTH CENTRAL KENTUCKY COUNCIL OF THE BLIND

SCKCB logo
Serving the blind and low vision population of South Central Kentucky

MEMBERSHIP FORM

Complete the information form below and press the Paypal Buy Now button and your application will be forwarded to the Treasurer of the SCKCB. You will be redirected to Paypal's site to verify your information with Paypal to pay your annual dues of $10.00.

You may also print this form out with the print button and send it along with your annual membership dues of only $10, check or cash, payable to SCKCB. Our mailing address is as follows:

SCKCB
1652 Media Drive
Bowling Green, KY 42101
Application Type
New Membership Renewal
Name
Address
Braille Forum
Visual Acuity
Contact Information