Kansas Braille Transcription Institute, Inc.
P.O. Box 48091
Wichita, Kansas 67201-8091

(316) 265-9692 (Phone)
(316) 265-0184 (FAX)
info@kbti.org

INSTRUCTIONS: Please fill out each applicable field.
Please complete a separate form for each document to be transcribed into Braille. Send all materials to the KBTI via conventional mail, FAX, or E-mail. See the contact page for details. This form is available in the following alternative formats upon request: large print, E-text

Section 1. Who is the material from?

Name
Address
City State Zip Code
Phone Fax Email
Campus
Department
Faculty
Staff
Student

Section 2. To whom should the material be sent?
Name
Address
City State Zip Code
Phone Fax Email
Campus
Department
Faculty
Staff
Student
Section 3. Material to be transcribed into Braille:

Date Sent
Date Needed
Document Title
Number of Pages

Comments or Special Instructions:

Thank you for recognizing the importance of print accessibility and supporting the KBTI project. Working together, we can make a difference.