GDUI Membership Application
  1. Membership Form

    This page has information about how to apply for an annual membership ($15), a lifetime membership ($250), or an annual PawTracks subscription - without a membership ($25).

    To pay online using PayPal use this form.
    To pay by check or over the phone please complete this form and follow the instructions at the bottom of this page.

  2. Full Name*
    Please type your full name.
  3. Address*
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  4. City*
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  5. State*
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  6. Zip Code*
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  7. Home Phone With Area Code
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  8. Work Phone With Area Code
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  9. Cell Phone With Area Code
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  10. Primary Email Address*
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  11. Alternate Email Address
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  12. To comply with postal regulations when we send you items via the U.S. Postal Service, we need information concerning your degree of visual impairment (we are allowed to use "Free Matter For The Blind" in lieu of paid postage only for people who are legally blind)
  13. Vision Status:*

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  14. We will use E-mail whenever possible, but please tell us your format preference for other communications from GDUI
  15. Format Preference:*

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  16. Format Preference For PawTracks:*

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  17. Guide Dog Users, Inc. (GDUI) is an affiliate of the American Council of the Blind (ACB). Therefore, members of GDUI are members of ACB. As a member, you are entitled to receive ACB's magazine the Braille Forum. If you are not currently receiving the Braille Forum, or wish to change the format in which you receive it, please fill out the following question.
  18. ACB Format:

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  19. Please select one of the following membership options:
  20. Membership Option*

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  21. To complete this transaction online using paypal click the submit button.
    If you'd rather contact us personally use the information below the submit button to complete your application.
    If you have filled out this form but wish not to pay online you can click the submit button to send us the information from this page and you can send us a check or call us to complete your order.

  22. If you would prefer to use another method of membership payment, you can send us checks or call us to pay by credit card over the phone.

    Checks should be made payable to GDUI, and sent to:

    Sarah Calhoun,
    Secretary Guide Dog Users, Inc.
    3603 Morgan Way
    Imperial, MO 63052

    If you would prefer to submit payments via credit card, you may do so by calling 1-866-799-8436, ext. 1.

    If you plan to join GDUI through one of our state affiliates, you need not send money directly to us, since the affiliate treasurer will do so. Please contact us for a current list of our affiliates.