BAF membership form

Black Achievement Fund Business Membership Application

Complete the form below to become an official BAF Business member. Black Achievement Fund Business Membership is for businesses and independent contractors who believe in our mission and Guiding Principles. Business Membership benefits include free marketing on our Black List - BAF's Business Directory as well BAF/FGI's social media platforms. We also offer other marketing and advertising options. Please contact us for specific details. In addition, Business members are eligible for all programs and services offered through BAF's Small Business Department.
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

Month Day Year
Date
Where did you hear about us?

Referred by a BAF Member or Representative Dr. Ray Hagins/The Afrikan Village Freedom Georgia Initiative Youtube Instagram Facebook Twitter BAF yard/campaign sign Bumpersticker/flyer
Name of BAF member/Representative

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

Yes No
Name of Business
Name of Business Owner/Contact Person

First Name Last Name
Race of Business Owner *
Is the business majority Black owned?

Yes No
Business Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Business Phone Number

Area Code Phone Number
Email of Business Owner/Contact Person
example@example.com
Size of Business

less than $250,000 in annual revenue ($250 a year) $250,000 - $1 million in annual revenue ($500 a year) $1+ million in annual revenue ($1,000 a year)
Please provide a one-two sentence description of your business/service:
Business Website
Please list any discounts that you will offer BAF members?
Upload your business logo

Browse Files

Cancel of
What t-shirt size would you like?

Small Medium Large XLarge 2XL
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. Business Membership to the Black Achievement Fund is a minimum $250 a year. The Black Achievement Fund is a nonprofit 501 (c)3 corporation; all membership contributions are 100% tax deductible. Membership contributions are non-refundable.
*

I have read, understood, and accepted the rules for membership.

BUSINESS MEMBERSHIP CONTRIBUTION LEVELS. *

BUSINESS MEMBERSHIP $250 (less than $250,000 in annual revenue) Benefits include placement on our Nonprofit & Business Member's webpage and eligibility for small business grants and loans through our Grants & Scholarship and Small Business Departments.

$ 250.00 for each year

BUSINESS MEMBERSHIP $500 ($250,000-$1 million in annual revenue) Benefits include placement on our Nonprofit and Business Member's webpage and other marketing and advertising opportunities. Contact for details.

$ 500.00 for each year

BUSINESS MEMBERSHIP $1,000 ($1+ million in annual revenue) Benefits include placement on our Nonprofit and Business Member's webpage and other marketing and advertising opportunities. Contact for details.

$ 1,000.00 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.
Should be Empty:

Black Achievement Fund Business Membership Application

TAX INFORMATION, ACCOUNTABILITY & SECURITY

Membership Requirements