N A A C P
MEMBERSHIP APPLICATION
LOS ANGELES NAACP
  P.O. Box 56408
Los Angeles, Calif. 90056
Phone: (310) 397-1171 – Fax: (310) 397-1179
       
 Print application and mail.  Please make checks payable to NAACP.
New – You now can make membership payments or donations through our PayPal acccount   
“JOIN THE FIGHT FOR FREEDOM.”
 
Date______________

Mr./Mrs./Ms.: ________________________________________________________
Street Address: ____________________________________________________
City: _______________________________ State: ______ Zip: ________
Branch Affiliation: ____________________________________________________
Date of Birth: ____________________________________________________
Current Membership No.(If Renewal)___________________________ 
Type of Membership
Regular Annual Membership    
Regular Adult  ……………………………………. $30.00 
   
Youth with Crisis…………………………………. $15.00 
      
Youth without Crisis ……………………………..$10.00 
     
Annual Corporate ………………………………..$5,000.00 
      

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  
Thank You for your 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.