NCOBRA ONLINE APPLICATION - INDIVIDUALS/GROUPS

Application for Individual or Group Membership

(Use for New and Renewing Members)
PURPOSE

We believe that the descendants of Africans who were captured, taken from our homeland (Africa), enslaved, colonized and held captive for hundreds of years in the Americas and throughout the Diaspora, MUST BE COMPENSATED for the injustices, cruelties, brutalities, inhumanities and exploitations of racism, white supremacy, economic discrimination and oppression imposed upon our people past and present.
DEFINITION

REPARATIONS: Payment for a debt owed; the act of repairing a wrong or injury; to atone for wrongdoings; to make amends; to make one whole again; the payment of damages to repair a nation; compensation in money, land, or materials for damages. In the Ancient African, Kemetic sense, Reparations means to rise up, repair and restore the ruined and damaged; to develop the underdeveloped and create a just society.
INVITATION

Please help continue the organizing and expansion efforts of N’COBRA, in building our National and International Movements for Reparations. Reparations are obtainable in our lifetime! A committed people with a righteous cause is a force that cannot be denied!
INDIVIDUAL Application for N'COBRA Membership

Please note that local/regional N'COBRA Chapters may also assess their own dues.
Choose ANNUAL DUES amount that is best for you:

$15 per year $20 per year $25 per year $50 per year
OR, choose a LIFETIME Member Payment Option:

$500 - one time payment $250 - two annual payments $50 - ten monthly installments
I am a RENEWING MEMBER

Yes
ORGANIZATION & GROUP Application for N'COBRA Membership

National groups operate in a minimum of 3 states. Details will be provided after Membership Commission review (allow 30 days).
Choose one:

$25 per year minimum (local) $50 per year minimum (national)
ORGANIZATION / GROUP NAME
Include relevant information about your organization.
YOUR NAME (Individual and/or Group) *

First Name Last Name
Street Address *

Street Address Line 2

City State / Province

Postal / Zip Code
Choose One *

AFRICAN DESCENDANT (Injured Party Member, Individual or Group) REPARATIONS SUPPORTER (Non-African/Black Group Member applications only. Individual Supporters are welcome to Donate on our website: https://www.officialncobraonline.org/support-us.)
Phone Number *
Please enter a valid phone number.
Email *
example@example.com
Website
How did you hear about N'COBRA?
FREE WILL DONATIONS

To be added to your Membership Dues for your Total Debit/Charge/PayPal Amount.
I am donating (insert amount) up to $9,999.00 to the goal of "Reparations in my lifetime!"
Please specify the N’COBRA Commission(s) you would like to support. (OPTIONAL)

Membership & Human Resources Economic Development Education Information & Media International Legal Legislative Youth Health General Support of N'COBRA
Signature *

Clear
MY TOTAL OF $ amount* represents One Membership, and may include a Donation. I understand I cannot apply for multiple persons using this form. The NCOBRA Membership Commission reviews applications, and I can expect a response within 30 days. Dues will be returned if an application is not accepted, or applied as a Donation if I so authorize. My group/organization will receive additional communication from the National Office and/or a Regional Representative. (To apply AS AN INDIVIDUAL if you are separately representing a group, please submit a different application.)
NCOBRA Membership, 1006 Surrey St., Lafayette, LA 70501, (202) 643-1460 (vm), mail@officialncobra.org
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Application for Individual or Group Membership

PURPOSE

DEFINITION

INVITATION

INDIVIDUAL Application for N'COBRA Membership

ORGANIZATION & GROUP Application for N'COBRA Membership

FREE WILL DONATIONS