Membership Application

Membership Application
Membership Type*

NewRenewal
Membership Dues*

Individual $50
Email*
example@example.com
Name*
First Name and Last Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Number

Area CodePhone Number
Mobile Number*

Area CodePhone Number
Best time for in person or Zoom interview:
What day(s) work best for you?*

MondayWednesdayFridayTuesdayThursday
What time works best for you?*

6:00 pm6:30 pm7:00 pm7:30 pm
Volunteer with the United Ebony Society
Please Check the Areas in Which You Have an Interest:*

Dr. Martin Luther King CelebrationBlack History MonthPolitical ForumsJuneteenthFundraisingMembershipScholarship CommitteeCommunity Workshops
Membership Code of Conduct

All members are expected to conduct themselves at Executive Board meetings, Membership meetings and Organization sponsored events in a respectful and orderly manner and in accordance with the latest edition of Robert’s Rules of Order. All members acknowledge and accept that the only spokesperson for the Organization is the President or an individual who the President has designated to speak on behalf of the Organization. All members are expected to refrain from any actions or discourse that reflects dishonor or disgrace on the Organization or any member thereof.

I have read this Code of Conduct and agree to abide by the guidelines specified.
Date*

MonthDayYear
Date
Signature*

Clear
Dues Payment:

Instructions for dues payment will be emailed to you after the interview.
The United Ebony Society of Gwinnett County, Inc.
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