P O Membership

MEMBERSHIP FORM – SPRINGFIELD BRANCH

Become an active supportive member by completing the form and mailing it to the NAACP – Springfield Branch NAACP, P.O. Box 3002, Springfield, IL 62708 Check your membership renewal date on your label if it had expired. Please renew Today Mr./Mrs./Ms. Telephone

Address City State Zip

Please check the type of Membership you wish: Email: Regular Adult Membership $30.00 Bronze Life (ages 14-21) $400.00

(payable in annual installments of $50.00 or more) Youth (up to 21, with Crisis Magazine) $15.00 Silver Life $750.00

(payable in annual installments of $75.00 or more) Youth (up to 21, without Crisis Magazine) $10.00 Gold Life $1,500.00

(payable in annual installments of $100.00 or more) Junior Life (ages 13 & under) $100.00 Diamond Life $2,500.00

(payable in annual installments of $500.00 or more) Please check if you are Renewing your Membership

Please join and become active in your local NAACP

NAACP MEMBERSHIP FORM – SPRINGFIELD BRANCH

Become an active supportive member by completing the form and mailing it to the NAACP – Springfield Branch NAACP, P.O. Box 3002, Springfield, IL 62708 Check your membership renewal date on your label if it had expired. Please renew Today Mr./Mrs./Ms. Telephone

Address City State Zip

Please check the type of Membership you wish: Email: Regular Adult Membership $30.00 Bronze Life (ages 14-21) $400.00

(payable in annual installments of $50.00 or more) Youth (up to 21, with Crisis Magazine) $15.00 Silver Life $750.00

(payable in annual installments of $75.00 or more) Youth (up to 21, without Crisis Magazine) $10.00 Gold Life $1,500.00

(payable in annual installments of $100.00 or more) Junior Life (ages 13 & under) $100.00 Diamond Life $2,500.00

(payable in annual installments of $500.00 or more) Please check if you are Renewing your Membership

Please join and become active in your local NAACP

Rev. 07-03-2019

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