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Membership Application

• Mr.
• Mrs.
• Ms.
• Miss
• Mx.
• Dr.

Membership Information

Date

Name

First

Last

Address

City

State

Zip

Unit Affiliation (1049 Monterey Branch)

Current Membership # (if renewal)

Phone Number (numbers only)

Birthday (Month and Day for Birthday Wishes)

Email Address

Are you a registered voter

• Yes
• No

Regular Annual Membership

• Regular Adult includes 1 year Crisis Magazine (Ages 21 or older) $30
• Youth includes 1 year Crisis Magazine (Ages 20 and under) $15
• Youth not including Crisis Magazine (Ages 17 and under) $10
• WIN (Women In The NAACP) Membership $10

Lifetime Membership

• Junior Life (Payable in annual installments of $25 or more) Ages 13 and under) $100
• Bronze Life (Payable in annual installments of $50 or more) Ages 14-20, $400
• Silver Life (Payable in annual installments of $75 or more) $750
• Gold Life (Payable in annual in installments of $150 or more) Only available to Silver or Regular Life Members. $1500
• Diamond Life (Payable in installments of $250 or more) Only available to Gold and Golden Heritage Life Members. $2500

What is your date of birth for Junior or Bronze? Fully paid Life Memberships include a 10-year subscription to The Crisis Magazine

Corporate Membership

• Annual Corporate $5000

Includes one year of Crisis Magazine

Payment Method

• Cash
• Check/Money Order (made payable to NAACP)
• Credit Card/Paypal

When choosing Credit Card/Paypal, please add appropriate option to cart below.

Amount Paid

If you were referred by a Member, please list their name below.

Name

Submit

MEMBERSHIP INFORMATION

Dear Members,

We are updating our membership information and need all members to forward their home address, email address and phone number to [email protected]. We need this information in order to keep you informed of all pertinent events and information.

Thank You!

                              TO MAKE AN ONLINE PAYPAL OR CREDIT CARD PAYMENT FOR MEMBERSHIP, PLEASE SEE BELOW.  

Regular Annual Memberships

• Regular Adult (Ages 21 & Older) $30.00 [wp_paypal button=”cart” name=”Regular Adult Annual Membership” amount=”30.00″]    
• Youth with Crisis Magazine (Ages 20 & under) $15.00  [wp_paypal button=”cart” name=”Regular Youth Annual Membership with Crisis Magazine” amount=”15.00″] 
• Youth without Crisis Magazine (Ages 17 & under) $10.00  [wp_paypal button=”cart” name=”Youth without Crisis Magazine Membership” amount=”10.00″]
• WIN (Women In The NAACP)(Only Available to active members) $10.00 [wp_paypal button=”cart” name=”WIN Membership” amount=”10.00″]

• Junior Life Subscribing (Ages 13 & under) (Payable in installments of $25 installments) [wp_paypal button=”cart” name=”Junior Life Subscribing Membership” amount=”25.00″]
•  Bronze Life Subscribing (Ages 14-20) (Payable in annual installments of $50) [wp_paypal button=”cart” name=”Bronze Life Subscribing Membership” amount=”50.00″]
• Silver Life Subscribing (Payable in installments of $75) [wp_paypal button=”cart” name=”Silver Life Subscribing Membership” amount=”75.00″]
• Gold Life Subscribing (Payable in installments of $150)  [wp_paypal button=”cart” name=”Gold Life Subscribing Membership” amount=”150.00″]
• Diamond Life Subscribing (Payable in installments of $250) [wp_paypal button=”cart” name=”Diamond Life Subscribing Membership” amount=”250.00″]

• Junior Life Membership (Ages 13 & under) $100.00 [wp_paypal button=”cart” name=”Junior Life Membership” amount=”100.00″]
• Bronze Life Membership (Ages 14-20) $400.00 [wp_paypal button=”cart” name=”Bronze Life Membership” amount=”400.00″]
• Silver Life Membership $750.00 [wp_paypal button=”cart” name=”Silver Life Membership” amount=”750.00″]
• Gold Life Membership $1500.00 [wp_paypal button=”cart” name=”Gold Life Membership” amount=”1500.00″]
• Diamond Life Membership $2500.00 [wp_paypal button=”cart” name=”Diamond Life Membership” amount=”2500.00″]

• Annual Corporate (Includes a 1-year subscription to Crisis Magazine) [wp_paypal button=”cart” name=”Corporate Annual Membership” amount=”5000.00″]