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Membership Applications and Other Forms

Membership Applications and Other Forms

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

Applications

RFB&D's Learning Through Listening® Individual Membership Applications

RFB&D's Learning Through Listening Institutional Memberships

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. (Both files are in .PDF format which requires Adobe Acrobat Reader. Acrobat Reader may be downloaded from the Adobe website free of charge.)
   
   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. Institutional Membership Forms
   
   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 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
   
   
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 Order Now button above.
   
   Audiobook Order Form (PDF)
   
   Player and Accessory Order Form (PDF)
   
   
5. User Authorization Key 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