(Please PRINT OUT this form and bring it to the NAACP OFFICE (3014 MacAlister Hall)
or next GENERAL BODY MEETING.)

NAACP MEMBERSHIP FORM

“Join The Fight For Freedom”
Please Print

Date:___________________________
Mr./Mrs.Ms:____________________________________________________________________
Street Address:________________________________________________________________
City: _____________________________________________ State: _________________ Zip:__________________
Branch Affiliation: DREXEL NAACP COLLEGE CHAPTER
Current Membership No. (if renewal)____________
Would you like us to send you a voter registration form? [ ] Yes [ ] No
,
Regular Annual Membership
Lifetime Membership
College Student without Crisis Magazine….....$10 [ ] Junior Life-(date of birth_______)……$100 [ ]
College Student with Crisis Magazine…………….$15 [ ] Bronze Life-(date of birth______)…….$400 [ ]
Regular Membership (Adult)………….$30[] Silver Life…………………………..….$750 [ ]
Gold Life………………………….…$1,500 [ ]
Diamond Life…….…………….…$2,500.00 [ ]
.
Method of Payment: Check [ ] Pay in person [ ]
Check Number: _____________________
Signature:_______________________________________________
MAILING Info
Please make checks payable to the Drexel NAACP College Chapter.
Thank you for your support.
Membership Department
Drexel University National Association for the Advancement of Colored People College Chapter
3014 MacAlister Hall
32nd & Chestnut
Philadelphia, PA 19104