EmailMeForm
NAACP Branch 5689 Membership
Contact Membership Chair (membership5689@gmail.com)
Meetings are held on the 1st Saturday of each month at Rogers Road Community Center.
Name
*
Prefix
First
MI
Last
Email
*
Address
*
Street Address
City
State / Province / Region
Postal / Zip Code
Phone
###
-
###
-
####
Do you live or work in Chapel Hill or Carrboro?
*
Yes
No
Membership Type
*
New Adult Membership ($30)
Renewal Adult Membership ($30)
New Youth Membership w/Crisis Magazine ($15)
New Youth Membership w/o Crisis Magazine ($10)
Renewal Youth Membership w/ Crisis Magazine ($15)
Renewal Youth Membership w/o Crisis Magazine ($10)
Junior Life Membership (youth: 13 & under) ($100 payable in installments of $25)
Bronze Life Membership (youth: 14-20) ($400 payable in installments of $50)
Silver Life Membership ($750 payable in installments of $75)
Gold Life Membership ($1500 payable in installments of $150)
Diamond Life Membership ($2500 payable in installments of $250)
PayPal fee additional $2.00
Payment Type
*
Paypal (you will be redirected to Paypal after hitting submit- click "sign up" to pay with debit/credit card without creating a Paypal account.)
Check (make your check payable to NAACP. Remit to PO Box 1236 Carrboro, NC 27510)
Membership Number
Renewal members, if known, please include your membership number.
Parent Name
First
Last
Parent Phone
###
-
###
-
####
Parent Email
Involvement
Please use the selection below to indicate how you would like to be involved with the branch. See https://www.chapelhillcarrboronaacp.com/committees for committee descriptions.
Please select the committee(s) you would like to join.
Communications
Criminal Justice
Economic Development (*high need for new members)
Education
Environmental Justice
Freedom Fund Banquet
Health and Wellness
Housing
Labor and Industry
Legal Redress (*high need for new members)
Membership (*high need for new members)
Political Action
Religious Affairs
Women in NAACP (WIN)
Young Adult (*new committee forming-high need for new members 18-45yo)
Youth Council
Your contact information will be forwarded to the chair of your selected committee(s).
Additional Donation
$
Dollars
.
Cents
Donations to the branch are not tax-deductible.
Notes for Membership Chair
Total
$0.00
