JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
African American Research Library And Cultural Center Of Palm Beach County Membership Application
Welcome to the African American Research Library and Cultural Center!
T
hank you for expressing your interest in joining the African American Research Library and Cultural Center (AARLCC). We are committed to fostering a diverse and inclusive community, embracing the richness of our collective experiences.
As a non-profit 501(c)(3) tax-exempt corporation, AARLCC is dedicated to preserving the rich heritage of African American culture in Palm Beach County. Your contributions are essential in sustaining our mission and initiatives.
AFRICAN AMERICAN RESEARCH LIBRARY AND
CULTURAL CENTER OF PALM BEACH COUNTY
P.O. BOX 173
WEST PALM BEACH, FL 33402
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Email Address
Your answer
Organization / Company Name
Your answer
Business Description (200 char max)
Your answer
Physical Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip code
*
Your answer
Mobile Number
*
Your answer
Are you okay with SMS Text notifications?
*
Yes
No
Social Network Addresses
*
Your answer
Join our cause by volunteering your skills and contributing to the legacy of Palm Beach County's African-American history. What committee if any would you be interested in joining?
Grant Writing
Social Media Marketing
Technology
Fundraising
Research
Digitization
Videography
Other:
Clear selection
Which Membership Tier?
ANNUAL MEMBERSHIP CATEGORIES:
*
Youth (up to 18) - $10.00
Adult - $50.00 includes Membership Card 10% discount on events.
Non-Profit Organization - $150 all above, plus three PBC African American bookmarks.
Corporate - $200 All above, plus five PBC African American bookmarks.
Family - $75 Membership Card 10% discount on events.
Alumni Circle - $100 All above, plus an 8.5”x11” Certificate of Appreciation.
Life Member - $1,000 All above, plus name listed in event programs. Payable in full or two years.
"By signing this application, you acknowledge and agree to the payment of membership dues for the chosen membership tier."
Type Name Below
Your answer
Membership Sign Date Below
NEXT STEP: Online Membership Dues -
Pay Here
Your answer
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
