NFAS Membership Enrollment Form

National Council of Negro Women, Inc

Membership Enrollment Form
Fiscal Year 2026-2027 Membership Enrollment

(Oct. 1, 2026 - Sept. 30, 2027)

Welcome to the North Fulton Area Section (NFAS) of NCNW.

To complete your membership enrollment, please complete the following steps:

1) Complete and submit the membership enrollment form below.

2) Pay the applicable North Fulton Area Section NCNW membership dues.

(See payment instructions below).

If there are any questions, please email membership1@northfultonncnw.com
Personal Information
Prefix
Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Telephone: (Cell)
(xxx) xxx-xxxx
Birth Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearUsed for member records, birthday recognition, and YACA eligibility.
Professional Information
Occupation/Profession
Employer/Company Name
Does your employer offer a charitable donation matching program?
Membership Type
Enrollment Status:
If you selected "Transfer Member," please enter the name of your previous NCNW section:
National Affiliate Organizations
Select all that apply:
Membership Connection
How did you hear about the North Fulton Area Section (NFAS)? Select all that apply.
If referred by a current NFAS member, please enter her full name:
Member Engagement
What strengths, skills or interests would you enjoy sharing with NFAS: Examples: event planning, hospitality, communications, technology, fundraising, community service, professional development, etc.
Which NFAS committees would you be interested in learning more about? Select all that apply. Your selections indicate interest only and do not commit you to joining a committee.
Membership Dues
New Member
$75 NCNW National Dues
$30 NFAS Section Dues
Total Due: $105

Current NCNW National Member Joining NFAS
NCNW National Dues: Already Paid
$30 NFAS Section Dues
Total Due: $30

Transfer Member
If NCNW National dues are already paid:
$30 NFAS Section Dues
Total Due: $30

If NCNW National Dues have not been paid:
$75 NCNW National Dues
$30 NFAS Section Dues
Total Due: $105

National Associate Supporter
$75 NCNW National Dues
$30 NFAS Section Dues
Total Due: $105

Late Fee: A $10 NCNW National late fee applies after May 31, (National dues deadline).
Payment Methods

North Fulton Area Section NCNW Membership dues and fees may be paid using one of the following methods:
Zelle: nfas.ncnw@gmail.com
Cash App: $NFASNCNW
NFAS Website: northfultonncnw.com
PayPal: nfas.ncnw@gmail.com
Money Order or Cashier's Check

For Money Order or Cashier's Check:
Payable to: North Fulton Area Section/NCNW
Mail to: 2400 Old Milton Parkway, Unit 763, Alpharetta, GA 30009

Payments made through PayPal or the NFAS website are subject to applicable processing fees. Please include any processing fee shown at the time of payment to ensure membership dues are paid in full.
Payment Method Used:
Acknowledgement & Signature

By signing below, I confirm the information provided on this enrollment form is accurate to the best of my knowledge.
Print name
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Should be Empty:

National Council of Negro Women, Inc

Personal Information

Professional Information

Membership Type

National Affiliate Organizations

Membership Connection

Member Engagement

Membership Dues

Payment Methods

Acknowledgement & Signature