• Membership Application

    To apply for membership please complete all questions. There is a 30 dollar annual membership fee if approved.
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  • Emergency Contact Information

    Please provide at least 2 emergency contacts.
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  • Questionnaire

  • I understand that I am requesting a membership with Black Lives Matter Richmond VA with dues of $30 annually which may be subject to change upon notification. I agree to being contacted about actions based on my preferences.

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