Joining Blind Information Technology Specialists

Thank you so much for your interest in Blind Information Technology Specialists (BITS). Please fill out the following information to join the affiliate.

Step 1 of 7

BITS Membership Form

Welcome to the Blind Information Technology Specialists affiliate and thank you for your interest in joining us. This membership form will guide you through the process of joining the affiliate. Free memberships are currently closed and may return after further analysis. We still encourage you to be a part of an affiliate that is making a difference in the lives of those who are blind or Low vision through education, training, perks, specials and so much more. You will be joining a highly energetic family that wants to make a difference not only for themselves but for others as well. The most important thing is to have fun in the process and adding your voice, experience, talents, and enthusiasm will enhance the culture and energy of BITS. Please join us, won't you?

Personal Information

Donor Name

Enter the name of the individual submitting the membership on behalf of the individual mentioned above.

Donor First Name Donor Last Name

Donor Email Address

Enter the email address of the person making the donation.

Company or Organization Name

Member Name(Required)

Member First Name Member Middle Name Member Last Name

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

BITS Membership Form

Registration Type

Registration Type(Required)

Personal Information

Donor Name

Donor Email Address

Company or Organization Name

Member Name(Required)

Address(Required)

Email Address(Required)

Home Phone Number

Mobile Phone Number

Gender

Ethnicity

Vision Status

Communication Preferences

Are you a current member of the American Council of the Blind?(Required)

Do you have a life-time membership with the American Council of the Blind?(Required)

Are you or have you ever been a member of Blind Information Technology Specialists in the past?(Required)

Would you like to be added to the BITS Announce Email list?(Required)

Would you like to be added to the BITS Member Discussion Email list?(Required)

Braille Forum Format(Required)

Preferred Mail Format(Required)

Areas of Interest in Blind Information Technology Specialists

Areas of Interest

Other Areas of Interest

Educational Opportunities

Educational Areas of Interest

Are there any other educational opportunities you would like to see BITS venture into in the future?

Leadership Opportunities

What committees might you be willing to serve on or take an interest in within BITS?

Other Leadership Opportunities

Social Activities and Engagement Opportunities

Do you currently attend the weekly BITS chat?(Required)

Do you attend the BITS Panel/Open Forum Discussions or BITS presentation sessions?:(Required)

If you could suggest activities that you would like to see BITS undertake what would they be?

General Comments

Do you have any additional comments for the BITS leadership team?

Paying your BITS Dues or Making a Donation

Select the Type of Payment you would like to make to BITS(Required)

BITS Membership Dues(Required)

Make a Donation to Blind Information Technology Specialists (BITS)

Donation Amount to BITS(Required)

Payee Name

Total