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A A C P
MEMBERSHIP APPLICATION
MEMBERSHIP APPLICATION
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A A C P
MEMBERSHIP APPLICATION |
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LOS ANGELES NAACP
P.O. Box 56408 Los Angeles, Calif. 90056 Phone: (310) 397-1171 - Fax: (310) 397-1179 |
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Please make checks payable to NAACP. Print application and mail. |
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"JOIN THE FIGHT FOR FREEDOM."
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Date______________ Mr./Mrs./Ms.: ________________________________________________________ Street Address: ____________________________________________________ City: _______________________________ State: ______ Zip: ________ Branch Affiliation: ____________________________________________________ Date of Birth: ____________________________________________________ Current Membership No.(If Renewal)___________________________ |
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Type of Membership
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Regular Annual Membership_______ Regular Adult ........................................... $30.00_______ Youth with Crisis........................................ $15.00 _______ Youth without Crisis ...................................$10.00 _______ Annual Corporate ......................................$5,000.00 |
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Lifetime Membership______ Junior Life (ages 13 and under) ...................$100.00______ Bronze Life (ages 14 to 21) ........................$400.00 ______ Silver Life ...................................................$750.00 ______ Gold Life ....................................................$1,500.00 ______ Diamond Life...............................................$2,500.00 |
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