MEMBERSHIP APPLICATION

Membership is the lifeblood of the N.A.A.C.P. We depend on our members' generosity to insure the N.A.A.C.P.'s independence. We depend on you to keep the flames on freedom burning bright.

Name : __________________________________________          Today's Date : ___________________

Address : ________________________________________         Amount Paid : ___________________

City : __________________State : ________Zip : ________       Telephone No : __________________

Unit Affiliation : ___________________________________         Email Address : __________________

Current Membership No.: __________________________
                (if renewal)

                                                           CHOOSE MEMBERSHIP
                                                                   
Regular Annual Membership
Lifetime Membership
Regular Adult...........................$30.00_______ Junior Life - (D.O.B.________)...........$100.00_______
Youth w/ Crisis.........................$15.00_______ Bronze Life - (D.O.B.________).........$400.00_______
Youth w/o Crisis.......................$10.00_______ Silver Life ........................................$750.00_______
Annual Corporate................$5,000.00_______ Gold Life........................................$1,500.00_______
Please make checks payable to the NAACP. Thank You! Diamond Life................................$2,500.00_______

                         
                                                           TYPES OF MEMBERSHIPS       

Regular Annual Membership
Lifetime Membership
Regular Adult.............................................$30.00 Junior Life(ages 13 & under).......................$100.00
Payable in annual install. of $25.00 or more
Youth(up to 21)..........................................$15.00
(w/ Crisis Magazine)		 Bronze Life(ages14 to 21)...........................$400.00
Payable in annual install. of $50..00 or more
Youth(up to 18)..........................................$10.00
(w/o Crisis Magazine)		 Silver Life.......................................................$750.00
Payable in annual install. of $75.00 or more
Annual Corporate Membership...........$5,000.00 Gold Life.................................................. ..$1,500.00
Payable in annual install. of $150.00 or more
Thank You For Your Support!
 Diamond Life.............................................$2,500.00
Payable in annual install. of $250.00 or more

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