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Free White Cane Program

Thank you for your interest in the Free White Cane Program. Please fill out the required information below to receive your free cane. For questions regarding the Free Cane Program email us at freecane@nfb.org.

Required field(s) are indicated by an *.
* First Name
* Last Name
* Address
Address 2
* City
* State * Zip Code
* Phone
* Birth date Month Day  Year
* Email
Note: An email will be sent to this address for the sole purpose of order activation.
* Email Verification
Re-enter the e-mail address your previously provided.
* Member of NFB? Yes
No
* Braille reader? Yes
No
Selecting the correct size:
* Cane size
* Acknowledgement
By requesting this white cane I acknowledge that:
  • I am blind or visually impaired.
  • This cane is for my personal use.
  • It is more than six months since a previous request for a white cane.
  • OR, I am requesting a white cane on behalf of a child under the age of 18.
By clicking on the checkbox below marked "I Accept", you acknowledge that you have reviewed and agree to all of the statements above.
*  I Accept

In order to protect our Web form, it is necessary to determine that you are a human user. CAPTCHA is a test that the user is required to pass in order to submit the form. However, many of the visual CAPTCHAs are not accessible to blind individuals and audio CAPTCHAs are hard to use. SoundsRight CAPTCHA is developed as an alternative CAPTCHA with blind users in mind. In partnership with the National Federation of the Blind, Towson University is carrying out an implementation test with the SoundsRight CAPTCHA on the NFB Free White Cane web form. Please attempt the SoundsRight CAPTCHA below to submit this form.
SoundsRight CAPTCHA