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.   
email: [email protected]

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