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Membership Applications and Other Forms

RFB&D Copyright Acknowledgement Form
Individual Membership

Please read the statement below and sign at the bottom. Your membership application cannot be processed without a signature.

The contents of all RFB&D books are protected under copyright law. RFB&D strictly regulates its distribution of materials to a specialized member population that has provided documented evidence of a print disability. Copying, sharing or redistributing RFB&D's books in any form to any person is strictly prohibited by law and is a violation of publishers' rights and the terms of your membership. Violators face permanent suspension of RFB&D membership benefits and possible civil or criminal penalties.

I understand the statement above and agree to all the terms and conditions of RFB&D membership. I promise not to copy, share or redistribute RFB&D's books in any form, to any person.

Signature of Member:
(or parent/guardian if member is under 18 years old)

Print Member's Name:

Date:

Print Name:

Member ID Number: