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

Regular Adult (Ages 21 & older)....................................................$30*Youth with Crisis Magazine (Ages 20 & under)...........................$15*Youth without Crisis Magazine (Ages 17 & under)......................$10Annual 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 $50 or more..............................$400** (Ages 14-20)Silver Life (Payable in annual installments of $75 or more.................................$750**Gold Life (Payable in annual installments of $150 or more..............................$1,500** Only available to Silver or Regular Life MembersDiamond Life (Payable in annual installments of $250 or more......................$2,500** Only available to Gold or Golden Heritage Life Members
Date of Birth

MonthDayYear
Date
* includes a 1-year subscription to The CRISIS Magazine

**Fully-paid Life Memberships include a 10-year subscription to The CRISIS Magazine

$6.00 per year of the membership fee will be applied toward your subscription to THE CRISIS
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 (payment link presented after application completed)
Please only submit your membership form once. If you need to make changes to your submission, please email cabarruscountynaacpmembership@gmail.com.
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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.