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
LIFETIME MEMBERSHIP:
SUBSCRIBING LIFE MEMBERSHIP AVAILABLE

Junior Life (under age 14) $100.00 (4 annual installments of $25)

Bronze Life (ages 14-20) $400.00 (8 annual installments of $50)

Silver Life $1,000.00 (Annual Subscription: $100 or more)

Gold Life $2,000.00 (Annual Subscription: $200 or more)

Diamond Life $3,000.00 (Annual Subscription: $300 or more)

Premier $5,000 (Annual Subscription: $500 or more)

THANK YOU FOR YOUR PERPETUAL SUPPORT!

Gifts and contributions to this NAACP Branch are not deductible as 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

WIN

Women In NAACP

$10.00

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: $100 or more totaling $1,000

$100.00

Gold Life

Annual Subscription: $200 or more totaling $2,000

$200.00

Diamond Life

Annual Subscription: $300 or more totaling $3,000

$300.00

Premier Corporate

Annual Subscriptions: $500 or more totaling $5,000

$500.00

Total

$0.00