Please fill out the form below to receive mailings from The Chicago Lighthouse regarding our organization, programs and services, as well as issues regarding visual impairments.

     
Name:
Company:
Address:
City:
State:
  Zip:
Phone:
E-Mail:
   
Are you legally blind?:
   Yes     No
Is someone you know legally blind?:
   Yes     No
If yes, what is their relation to you?:
 
Cause of loss of sight?:
 
Other disabilities?:
 
How did you heare about The Chicago Lighthouse?:
 
Have you previously received services from The Chicago Lighhouse?:
   Yes     No
Would you like a Chicago Lighthouse representative to contact you regarding our programs and services?:
   Yes     No
   
   

The Chicago Lighthouse for
People Who Are Blind or Visually Impaired

1850 West Roosevelt Road
Chicago, IL 60608
312-666-1331

copyright ©1999 The Chicago Lighthouse.
All rights reserved.

 


 
   
Leaders and Affiliations Resources Professional Opportunities Visitor Registration Visit Our Store How To Give What's Happening News and Media History Support Services Vocational Programs Chicago Lighthouse Industries Clinical Programs Independent Living Training Development and Educational Home Page