NAACP Membership Application

NAACP Membership Application
Email: acnaacp@gmail.com MAKE CHECK PAYABLE TO: NAACP Alachua County Branch

Make Payment via CashApp or Credit Card When Submitting Electronic Application
JOIN THE FIGHT FOR FREEDOM! PROTECTING EQUALITY & PRESERVING A CIVIL RIGHTS LEGACY
Date*

MonthDayYear
Date
Referred by
Mr./Mrs./Ms./Dr.
Full Name (First Middle Last, Suffix*
Street Address*
City*
State*
Zip*
Phone*
Format: (000) 000-0000.
Email*
example@example.com
Current Membership# (If Renewal)
Fratemity/Sorority Affiliation (If Applicable)
TYPES OF MEMBERSHIP REGULAR ANNUAL MEMBERSHIP
Regular Adult $30.00

Youth $10.00

WIN $10.00

Annual Corporate $5,000.00
LIFETIME MEMBERSHIP:
SUBSCRIBING LIFE MEMBERSHIP AVAILABLE

Junior Life (under age 14 Bronze Life (ages 14-20) Silver Life

$100.00 (4 annual installments of $25) $400.00 (8 annual installments of ($50) $750.00 (Annual Subscription: $75 or more) $1,500.00 (Annual Subscription: $150 or more) $2,500.00 (Annual Subscription: $250 or more)

THANK YOU FOR YOUR PERPETUAL SUPPORT!

Gifts and contributions to this NAACP Branch are not deductible to charitable contributions However, a portion of your dues is passed on to the NAACP national organization and these payments are tax deductible.

My Products

Regular Adult

Enter description

$30.00

Youth

$10.00

WIN

Women In NAACP

$10.00

Annual Corporate

$5,000.00

Junior Life (under age 14)

4 annual installments of $25 totaling $100

$25.00

Bronze Life (ages 14-20)

8 annual installments of $50 totaling $400

$50.00

Silver Life

Annual Subscription: $75 or more

$75.00

Gold Life

Annual Subscription: $150 or more

$150.00

Diamond Life

Annual Subscription: $250 or more

$250.00

Total

$0.00