Foot Soldier Membership Form
Civil Rights Activist Committee Headquarters
WELCOME!
You are already making HISTORY! Thank you for joining the Civil Rights Activist Committee! By becoming a member, you will be able to partake in all events given by the headquarters, make suggestions and decisions in the meetings, and receive a percentage off to book the headquarters space. Thanks for helping to continue to ignite the minds of the future!
Your Name
*
First Name
Last Name
Your E-mail
*
Your Phone Number
*
-
Area Code
Phone Number
Your Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Which Box Would You Like?
*
Adult Membership @ $30 (Covers one month, Shirt and Pin; $5 every month)
Youth Membership (18 and under) @ $15 (Covers one month, Shirt and Pin; $3 every month)
I would like to pay by:
*
Cash
Cash App ($CRACFS)
Venmo (@CRACFS)
Check (Payable to: Civil Rights Activist Committee)
Signature
Submit
Should be Empty: