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Membership Application

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• Mrs.
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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.

Message

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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 mcbnaacp1049@gmail.net. 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 
      
• Youth with Crisis Magazine (Ages 20 & under) $15.00  
   
• Youth without Crisis Magazine (Ages 17 & under) $10.00  
• WIN (Women In The NAACP)(Only Available to active members) $10.00 

• Junior Life Subscribing (Ages 13 & under) (Payable in installments of $25 installments)
•  Bronze Life Subscribing (Ages 14-20) (Payable in annual installments of $50)
• Silver Life Subscribing (Payable in installments of $75)
• Gold Life Subscribing (Payable in installments of $150) 
• Diamond Life Subscribing (Payable in installments of $250)

• Junior Life Membership (Ages 13 & under) $100.00
• Bronze Life Membership (Ages 14-20) $400.00
• Silver Life Membership $750.00
• Gold Life Membership $1500.00
• Diamond Life Membership $2500.00

• Annual Corporate (Includes a 1-year subscription to Crisis Magazine)