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Vision Support Groups Membership Application


First Name: * required field

Last Name: *

Address: *

City: *

State: *

Zip Code: *

Telephone (day):

Telephone (evening):

E-mail Address:

VIP (Visually Impaired Persons) Reston
1st Friday of the month 2 p.m. to 4 p.m.
Reston Regional Library
11925 Bowman Towne Drive, Reston.

VIP (Visually Impaired Persons) Vienna
4th Thursday of the month 10:30 a.m. to 12:30 p.m.
Patrick Henry Library
101 Maple Avenue East, Vienna.

     


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