Dayton Unit NAACP Membership

Unit Name (DO NOT EDIT)
Dayton Unit NAACP #3181
Membership *
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Junior Youth Annual (Ages 13 - Under) $ 15.00

Junior Life Subscribing (Ages 13 - Under) $ 25.00

Junior Life Fully Paid (Ages 13 - Under) $ 100.00

Youth Annual (Ages 14 - 20) $ 15.00

Bronze Life Subscribing (Ages 14 - 20) $ 50.00

Bronze Life - Fully Paid (Ages 14-20) $ 400.00

Adult Regular $ 30.00

Women in NAACP (WIN) $ 10.00

Silver Life Subscribing $ 75.00

Silver Life Fully-Paid $ 750.00

Gold Life Subscribing $ 150.00

Gold Life Fully-Paid $ 1,500.00

Diamond Life Subscribing $ 250.00

Diamond Life Fully-Paid $ 2,500.00

Annual Corporate $ 5,000.00
Name of Member: *

First Name Middle Name Last Name
Address of Member *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Member Telephone No. (Numbers Only) *
Birth Date

Month Day Year
Date
E-mail *

Confirmation Email
Committee(s) *

ACT-SO Program Armed Services Communications, Press & Publicity Community Coordination Criminal Justice and Public Safety Economic Sustainability Education Environmental and Climate Justice Finance Freedom Fund Health Housing Labor & Industry Legal Redress Membership and Life Membership Political Representation and Voting Rights Press & Publicity Religious Affairs Women In NAACP (WIN) Young Adult Other
Special Committee
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Name of Solicitor: *

First Name Middle Name Last Name
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