BAF membership form

Black Achievement Fund Nonprofit Membership Application

Complete the form below to become an official BAF Nonprofit member. Please Note: You must also be an BAF Individual Member to become a BAF Nonprofit Member. Your membership contribution will automatically renew each month or year depending on what you select. The Black Achievement Fund is a nonprofit 501 (c)3 corporation. All membership contributions and donations are 100% tax deductible.
BAF Nonprofit Member Benefits Include:

- A BAF Nonprofit Member Certificate and t-shirt.

- Exclusive marketing and advertising on all BAF media platforms including email, Facebook, Instagram and Youtube.

- 1 free rental Kemet Club rental.

- Access to a network of Black business professionals including lawyers, accountants, general contractors, doctors, graphic designers, web developers, etc., realtors, mortgage brokers, grant writers and more!
Date

MonthDayYear
Date
Name of Executive Director/President

First NameLast Name
Name of Nonprofit
Nonprofit description
(i.e. youth development, arts & culture, women empowerment, etc.)
Race of Executive Director/President*
Does this nonprofit serve a majority-Black population?

YesNo
Where did you hear about us?

Referred by a BAF Member or RepresentativeDr. Ray Hagins/The Afrikan VillageFreedom Georgia InitiativeYoutubeFacebookTwitterBAF promo pamphletBumpersticker/flyer
Name of BAF member who referred you

First NameLast Name
Nonprofit Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Nonprofit Phone Number

Area CodePhone Number
Nonprofit Email
example@example.com
T-shirt size

SmallMediumLargeXLarge2XL
Nonprofit Website
Nonprofit Facebook Page
Nonprofit Youtube Page
Nonprofit Instagram Page
Nonprofit Twitter Page
Nonprofit LinkedIn Page
Please Upload Your Logo

Browse Files

Cancelof
In addition to email, can we text you member updates/notifications

YesNo
Nonprofit membership option

Monthly - $18Yearly - $216

CAMPAIGN MONTHLY MEMBERSHIP CONTRIBUTION LEVELS.*

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

Enter coupon

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

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Black Achievement Fund Nonprofit Membership Application