BAF membership form

Black Achievement Fund Gift Membership Application

Gift Members receive a special Gift Membership Certificate, a free Founding Member t-shirt and BAF campaign window sticker!
TAX INFORMATION, ACCOUNTABILITY & SECURITY

The Black Achievement Fund is a nonprofit 501 (c)3 corporation. All membership contributions and donations are 100% tax deductible. For maximum accountability we provide all members with access to the BAF's financial data through our MEMBERS ONLY page on our website. To enter, the password will be emailed with your membership receipt. All credit and debit cards are securely processed with STRIPE merchant software.
Date

MonthDayYear
Date
Name of person giving the Gift Membership*

PrefixFirst NameLast Name
E-mail*
Phone Number:*

Area CodePhone Number
Address:*

Street Address

Suite or Apt #

CityState / Province

Postal / Zip CodeCountry
Race*
Birth Date:*

MonthDayYear
Where did you hear about us?

Referred by a BAF Member or RepresentativeDr. Ray Hagins/The Afrikan VillageA Friend or colleaugeYoutubeFacebookInstagramTwitterBAF promo pamphletBumpersticker/flyer
Name of BAF Member/Representative

First NameLast Name
In addition to email, can we text you member updates/notifications

YesNo
Name of Gift Recipient

First NameLast Name
Address of Gift Recipient (where Gift Membership Certificate will be mailed)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
T-shirt size (Free for either the Gift recipient or Gift Giver!)

SmallMediumLargeXLarge2XL
Please mail free t-shirt to the following address:

Gift Recipient's AddressGift Giver's Address
Membership Requirements
1. Membership to the BAF is open to anyone 16 and over who believes in our mission and Guiding Principles regardless of "race," religion, political preference, or sexual identity.

2. Membership to the Black Achievement Fund is a minimum of $9 a month. The Black Achievement Fund is a nonprofit 501 (c)3 corporation; all membership contributions are 100% tax deductible. Membership contributions are non-refundable.

3. All members must complete a minimum of 5 hours of community service ONCE we reach our 10 million-member/$1 billion campaign goal. Members who cannot perform community service due to medical reasons are exempt.
*

I have read, understood, and accepted the rules for membership.
All credit/debit card transactions are securely processed with STRIPE merchant solutions.

My Products

BAF Gift membershipIncludes a Gift Membership Certificate and a BAF Founding Member t-shirt.

$108.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

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Black Achievement Fund Gift Membership Application

TAX INFORMATION, ACCOUNTABILITY & SECURITY

Membership Requirements