Personal Details

I hereby agree to abide by the regulations governing library membership of Tape Aids for the Blind.

I undertake not to copy, make, distribute and/or sell (whether in my personal capacity or otherwise) all or any audio production(s) of Tape Aids for the Blind and its associated Section 21 Company, and I undertake further to protect and preserve the copyright of Tape Aids for the Blind, such Company and its licensors from time to time.

I indemnify and hold safe and harmless Tape Aids for the Blind and such Company against all and any claims of whatsoever nature and howsoever arising by any such licensor(s) with regard to any breach by me of the above

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Surname:		Membership No.
Title:	Mr Mrs Miss Other
Full Name:		E-Mail:
Residential Address:		Address1:
Telephone: (H)		Telephone: (W)
Fax:		Mobile:
Postal Address:		Postal Code:
Choose Username:	(at least 6 chars)
Password:	(at least 6 chars)	Retype Password:
Date of Birth:		Identity Number:
Home Language:		Religion:
Occupation:		Past Occupation:
Hobbies and Interests:
I require the service because I am:  Blind    Partially Sighted   Other
My condition is:	Temporary	Permanent
I would like to read books in : -	English Afrikaans Other
The type of books I like to read:
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Telephone: (H)