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Union County NAACP Membership Application
Please submit payment via Paypal or by mail once application is submitted.
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Email
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Name
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Your answer
Email Address
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Your answer
Full address (Can not process without full address)
123 Main Street, City, State Zip Code
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Your answer
Phone Number: Format (123) 456-7890
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Your answer
Birthdate
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MM
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DD
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YYYY
Annual Membership & Life Time Membership Options (If you are renewing your membership you do not need to complete this form unless you are changing your membership type) Example: Annual to Life-time
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Regular Adult (Ages 21 & Older ) $30
Youth without Crisis Magazine (Ages 17 & Under) $10
Junior Life (Ages 13 & Under) Payable in annual installments of $25 or more - $100
Bronze Life (Ages 14 - 20) Payable in annual installments of $50 or more - $400
Silver Life (Payable in annual installments of $75 or more) - $750
Gold Life (Payable in annual installments of $150 or more) - $1500
Diamond Life (Payable in installments of $250 or more) - $2500
Corporate Life - $5000
Payment Type
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Paypal
Check: PO Box 1284, Monroe, NC 28111
Committees you are interested (select at least 1)
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ACT-SO (Academic, Cultural, Technological & Scientific Olympics)
Armed Services & Veterans Affairs
Communication, Press & Publicity
Community Coordination
Criminal Justice
Economic Development
Education
Finance
Freedom Fund
Health
Housing
Labor & Industry
Legal Redress
Membership & Life Membership
Political Action
Prison Reform
Religious Affairs
Voter Empowerment
Youth Works
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