Cabarrus County NAACP Membership Application

Cabarrus County NAACP

Membership Application
Join the Fight For Freedom

Membership is the life-blood of the NAACP. We depend on our member's generosity to insure the NAACP's independence. We depend on you to keep the flames of freedom burning bright!
1. MEMBER INFORMATION
Name

PrefixFirst NameMiddle NameLast NameSuffix
Address

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Occupation/Field of Interest
Are You A Registered Voter?

YesNo
Solicitor's Name (if applicable)
Campaign (if applicable)
2. MEMBERSHIP INFORMATION
TYPE OF MEMBERSHIP

NewRenewal
If Renewal, please list Membership Number
REGULAR ANNUAL MEMBERSHIP

Annual Adult (Ages 21 & older)......................................................................$30Annual Youth (Ages 20 & under)....................................................................$10WIN (Women In NAACP) (only available to active members)......................$10Prison Membership..........................................................................................$12Annual Corporate.............................................................................................$5,000
LIFETIME MEMBERSHIP

Junior Life (Payable in annual installments of $25 or more)................................$100 (Ages 13 & under)Bronze Life (Payable in annual installments of $80 or more)..............................$400 (Ages 14-20)Silver Life (Payable in annual installments of $75 or more).................................$750Gold Life (Payable in annual installments of $150 or more).................................$1,500 Only available to Fully Paid Silver MembersDiamond Life (Payable in annual installments of $250 or more..........................$2,500 Only available to Fully paid Gold Members
Date of Birth

MonthDayYear
Date
3. PAYMENTS
Amount Paid
Payment Methods

CashCheck or Money Order (Payable to "Cabarrus County NAACP" and mailed to the following: NAACP Branch 5369B PO Box 1195 Concord, NC 28026-1195)Credit/Debit card using PayPal (Once you hit submit, you will see the payment link for PayPal pop up where you will need to enter your card information to process your payment. NOTE: If you choose this option, you need to complete the payment via PayPal for your application to be processed)
Please only submit your membership form once. If you need to make changes to your submission, please email cabarruscountynaacpmembership@gmail.com. DO NOT RESUBMIT MULTIPLE TIMES as this causes duplicate applications.
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Cabarrus County NAACP

Join the Fight For Freedom

1. MEMBER INFORMATION

2. MEMBERSHIP INFORMATION

3. PAYMENTS

Please only submit your membership form once. If you need to make changes to your submission, please email cabarruscountynaacpmembership@gmail.com. DO NOT RESUBMIT MULTIPLE TIMES as this causes duplicate applications.