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Membership Applications and Other Forms

Choose one of the following links for applications or other forms you may require.

Application Forms

Other Forms

  1. Membership Renewal Forms

    Use this form if you are an existing institutional or individual member whose Learning Through Listening membership is up for renewal.

    Individual Renewal Form - HTML

    Membership Renewal Forms: the Institutional Renewal form is currently unavailable, please contact Member Services at 800-221-4792 for assistance.

  2. Copyright Acknowledgement

    In order to provide educational materials in accessible formats, RFB&D requires all RFB&D Learning Through Listening members to read and sign an acknowledgment of RFB&D's copyright policy.

    Copyright Acknowledgement Form

  3. Student Certification Form

    By the end of your school's (or institution's) membership year, before the next year's membership renewal can be processed, a Student Certification Form (PDF format) must be completed and submitted to RFB&D. The form lists each student served along with a signature by a qualified professional in the field of disability services, special education, medicine or psychology. The certifier must be a recognized expert who attests to the physical basis of the visual, perceptual or other physical disability that limits your use of standard print.

    Appropriate certifying experts may differ from disability to disability.

    For example,

    • In the case of blindness and visual impairments, an appropriate certifier might be a physician, ophthalmologist, or optometrist.

    • In the case of a perceptual disability, a neurologist, learning disability specialist or psychologist with a background in learning disabilities may be the most qualified certifying professional

    The following professionals or individuals are not typically qualified to attest to the basis of a disability which limits the applicant's ability to effectively use standard print, unless they have a background in one of the above areas of expertise:

    • Principals

    • Vice-Principals

    • Guidance Counselors

    • General education teachers

    • Librarians

    Student Certification Form (PDF format)

  4. Printable Order Forms

    These order forms are not required to place an audiobook or player order; however, for your convenience, we have made them available. You also may order audiobooks and players online by clicking the Member Login button above.

    Audiobook Order Form (PDF format)
    Player and Accessory Order Form (PDF format)

  5. User Authorization Key (UAK) Form
    If you purchased your CD player or software from another source, you will need to purchase a User Authorization Key (UAK) before you can play our books. The cost of the UAK is $10 for CD players and $10-$20 for software, depending on which software product you are using. In addition, you will be required to send your CD player to RFB&D for installation of the UAK. Please contact Member Services at 800-221-4792 if you have any questions regarding the purchase or installation of the User Authorization Key.

    Download a Word Version of the User Authorization Key Form.
    Download a PDF Version of the User Authorization Key Form.

  6. Nonmember Affiliate Forms