M E M B E R S H I P 

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"Join The Fight For Freedom"


Date ________

Please Print

Mr./Mrs./Ms._____________________________ Telephone No. ____________

Street Address ____________________________________________________

City _________________________ State__________ Zip_________________

Branch Affiliation _________Virginia Beach - #7124

Date of Birth ___________ Current Membership No. (if renewal) _________

Please make checks payable to NAACP

Regular Membership  Lifetime Membership

Regular Adult ............... 

$30.00

Junior Life ...........

$100.00

Youth w/ Crisis............... $15.00 Bronze Life........... $400.00
Youth w/o Crisis............. $10.00 Silver Life.............. $750.00
Annual Corporate............ $5,000.00 Gold Life............... $1,500.00
Diamond Life........ $2,500.00

 

Multi-year Categories 1 year 2 years 3 years 4 years
Youth/Prison $10.00 $18.00 $25.00 $30.00
Adult $30.00 $50.00 $60.00 -

 

Higher Annual Categories
Contributor..................... $50.00
Supporter....................... $100.00
Advocate....................... $250.00
Freedom Fighter............. $500.00
Justice Club.................... $1,000.00
Advancement Club......... $2,500.00
President's Club............. $5,000.00
Centennial Club.............. $10,000.00

Check Number: ___________

Contact:  757-490-7799

Please print a copy of this application for your records.  Mail to:

NAACP
4805 Mt. Hope Drive
Baltimore, MD 21215-3297

 

Thank you for your Support!