If you have changed your mailing address, it is encouraged that you fill out the Membership Update Information Form.  If you are not a member of the NAACP and if you would like to join, please feel out the form below.

Once you have completed the information on this form,
 you can print the form and mail it the NAACP address listed below























































Once you have completed the information on this form,
an print the form and mail it to the NAACP address listed below.







NAACP MEMBERSHIP FORM

"Join the Fight for Freedom"











































Telephone:





































First Name:


MI:




















Last Name:





















Street Address:





















City:

State:

        Zip:





Email:































Branch Affiliation:




































Current Membership No. (if renewal):





































*** Select Membership Type ***



























Regular Annual Membership











Lifetime Membership











































Regular Adult




$30


Junior Life-(date of birth

)



$100




Youth with Crisis Magazine




$15


Bronze Life-(date of birth

)



$400




Youth without Crisis Magazine




$10


Silver Life








$750





Annual Corporate


$5,000


Gold Life







$1,500




























Diamond Life







$2,500
















*** Select Payment Type ***

























Method of Payment:



Check



  Money Order

































*** Mailing Information ***































Washington and Lee NAACP
P.O. Box  5122
Lexington, VA 24450































Please make checks payable to NAACP.
Thank you for your support.






























































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