Join - NAACP Kansas City

Date *

Solicitor's Name

Unit Number/Name

Do you wish to affiliate with your local unit?

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Other:

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M.I

Last Name *

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Are You a Registered Voter?

Membership Type

Membership Class

Regular Adult (Ages 21 and older) - $30 annually

Youth with Crisis Magazine (Ages 20 and under) - $15 annually

Youth without Crisis Magazine (Ages 17 and under) - $10 annually

Annual Corporate - $5,000 annually

WIN (Women In The NAACP) for CURRENTLY ACTIVE MEMBERS ONLY - $10 annually

Junior Life (Ages 13 and under) - $100 one time

Junior Life (Ages 13 and under) - $25 (4 installments)

Bronze Life (Ages 14-20) - $400 one time

Bronze Life (Ages 14-20) - $50 (8 installments)

Silver Life - $750 one time

Silver Life - $75 (10 installments)

Gold Life - $1,500 one time

Gold Life - $150 (10 installments)

Diamond Life - $2,500 one time

Diamond Life - $250 (10 installments)

Address

City

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Payment Option

Credit Card

Important Tax Information

Membership Type	Full Payment	Affiliated Tax Deductible Amount	At-Large Tax Deductible Amount	Subscribing Payment	Affiliated Tax Deductible Amount	At-Large Tax Deductible Amount
Regular Adult	$30.00	$11.85	$24.00	n/a	n/a	n/a
Youth w/ Crisis	$15.00	$10.20	$9.00	n/a	n/a	n/a
Youth w/o Crisis	$10.00	$5.70	$10.00	n/a	n/a	n/a
Annual Coporate	$5,000.00	$2,994.00	$4,994.00	n/a	n/a	n/a
Junior Life	$100.00	$54.00	$94.00	$25.00	$9.00	$19.00
Bronze Life	$400.00	$234.00	$394.00	$50.00	$24.00	$44.00
Silver Life	$750.00	$390.00	$690.00	$75.00	$39.00	$69.00
Gold Life	$1,500.00	$840.00	$1,440.00	$150.00	$84.00	$144.00
Diamond Life	$2,500.00	$1,44.00	$2,440.00	$250.00	$144.00	$244.00

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