Join - NAACP Kansas City

Membership Application

Membership is the life-blood of the NAACP. We depend on our members’ generosity to insure the NAACP’s independence. We depend on you to keep the flames of freedom burning bright!

New applicants and existing members complete the form below.

Membership Application

Salutation

Other:

Solicitor's Name

Unit Number/Name

Do you wish to affiliate with your local unit?

Campaign

Date *

First Name *

M.I

Last Name *

Address *

Apt./Suite

City *

State *

Zip Code *

Phone # *

Email Address *

Are You a Registered Voter?

Membership Type

Other:

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

Payment Method

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