Black Achievement Fund Nonprofit Membership Application
Complete the form below to become an official BAF Nonprofit member. Black Achievement Fund Nonprofit Membership is for nonprofit organizations that are providing programs or services aligned with our mission and Guiding Principles. Nonprofit Business members receive a special BAF Nonprofit Membership Certificate, a free BAF t-shirt and free marketing via BAF/FGI social media platforms. Nonprofit members are also eligible for BAF grants through our Grants & Scholarships Department. The Black Achievement Fund is a nonprofit 501 (c)3 corporation. All membership contributions and donations are 100% tax deductible.
Date
-
Month
-
Day
Year
Date
Name of Executive Director/President
First Name
Last Name
Name of Nonprofit
Nonprofit description
(i.e. youth development, arts & culture, women empowerment, etc.)
Race of Executive Director/President
*
Black
White
Latino
Asian
Mixed Black + other
Does this nonprofit serve a majority-Black population?
Yes
No
Where did you hear about us?
Referred by a BAF Member or Representative
Dr. Ray Hagins/The Afrikan Village
Freedom Georgia Initiative
Youtube
Facebook
Twitter
BAF promo pamphlet
Bumpersticker/flyer
Name of BAF member who referred you
First Name
Last Name
Nonprofit Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Nonprofit Phone Number
-
Area Code
Phone Number
Nonprofit Email
example@example.com
T-shirt size
Small
Medium
Large
XLarge
2XL
Nonprofit Website
Nonprofit Facebook Page
Nonprofit Youtube Page
Nonprofit Instagram Page
Nonprofit Twitter Page
Nonprofit LinkedIn Page
Please Upload Your Logo
Browse Files
Cancel
of
In addition to email, can we text you member updates/notifications
Yes
No
Nonprofit membership option
Monthly - $18
Yearly - $216
CAMPAIGN MONTHLY MEMBERSHIP CONTRIBUTION LEVELS.
*
prev
next
( X )
RECURRING payment of $18 - Nonprofit Membership (monthly)
$
18.00
for each
month
RECURRING payment of $216 - Nonprofit Membership (yearly)
Includes a free t-shirt!
$
216.00
for each
year
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
All credit/debit card transactions are securely processed with STRIPE merchant solutions.
Submit Application
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