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 Mr. Mrs. Ms. Miss Other Other: Solicitor's Name Unit Number/Name Do you wish to affiliate with your local unit? Yes No Campaign Date * First Name * M.I Last Name * Address * Apt./Suite City * State * AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Zip Code * Phone # * Email Address * Are You a Registered Voter? Yes No Membership Type New Member Renewal Membership Gift Membership If renewal, member ID# 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) Other Life Membership (Please specify) 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 Online Mail in Check reCAPTCHA Submit