Seattle King County National Association for the Advancement of Colored People (NAACP) Unit# 1136 Membership Form

Membership is the life-blood of the NAACP.

Join the Fight for Freedom During Our Membership Campaign

We depend on our members’ generosity to ensure the NAACP’s independence.

We depend on you to keep the flames of freedom burning bright!

1. MEMBER INFORMATION Salutation: Other Salutation: Date

Address: Apt. #/Suite #:

City: State: Zip Code:

Phone Number: Email Address:

Solicitor’s Name: Campaign:

2. UNIT INFORMATION Unit Name: Seattle King County NAACP Unit #: 1136

Unit Telephone #.: (206) 324-6600 Unit Email Address: contact@seattlekingcountynaacp.org

Meeting Information: General membership meetings occur every fourth Monday of the month

First Name: Middle Initial: Last Name:

Are You A Registered Voter?

Do you wish to affiliate with your local NAACP Unit? Unit number: 1136

Can be completed electronically, printed, and mailed with payment to:

Seattle King County NAACP, P.O. Box 22148, Seattle, WA 98122

www.seattlekingcountynaacp.org

Seattle King County National Association for the Advancement of Colored People (NAACP) Unit# 1136 Membership Form

Membership is the life-blood of the NAACP.

Join the Fight for Freedom During Our Membership Campaign

3. MEMBERSHIP TYPE (please check one)

REGULAR ANNUAL MEMBERSHIP LIFETIME MEMBERSHIP

Regular Adult (Ages 21 & older) $30* Junior Life (Ages 13 & under) Payable in annual installments of $25 or more Date of Birth

$100**

Youth with Crisis Magazine (Ages 20 & under) $15* Bronze Life (Ages 14-20)

Payable in annual installments of $50 or more Date of Birth

$400**

Youth without Crisis Magazine (Ages 17 & under) $10 Silver Life Payable in annual installments of $75 or more

$750**

WIN (Women In The NAACP) Membership Only available to current members

$10 Gold Life (Only available to Silver or Regular Life

Members) Payable in installments of $150 or more

$1,500**

Corporate PLATINUM* includes 16 memberships,

Company Logo on NAACP website, Social Media Share

Quarterly, Enewsletter Ad – 2x per Year

$5000 Diamond Life (Only available to Gold or Golden

Heritage Life Members) Payable in installments of $250 or more

$2,500**

Corporate GOLD* includes 12 memberships, Company

Logo on NAACP website, Social Media Share Quarterly,

Company Logo on Monthly ENewsletter Ad 2x per year

$2500 Other Life Membership. Please specify

Corporate SILVER* includes 8 memberships,

Company Logo on NAACP website, Social Media Share

2x per year, ENewsletter Ad 1x per year

$1000

Corporate BRONZE* includes 4 memberships,

Company Logo on Monthly ENewsletter

$500

* Includes a 1-year subscription to The CRISIS Magazine

** Fully-paid Life Memberships include a 10-year subscription to The CRISIS Magazine

$6.00 per year of the membership fee will be applied toward your subscription to THE CRISIS

New Member Renewal Membership If renewal, member ID# Gift Membership

Can be completed electronically, printed, and mailed with payment to:

Seattle King County NAACP, P.O. Box 22148, Seattle, WA 98122

www.seattlekingcountynaacp.org

Can be completed electronically, printed, and mailed with payment to:

Seattle King County NAACP, P.O. Box 22148, Seattle, WA 98122

Seattle King County National Association for the Advancement of Colored People (NAACP) Unit# 1136 Membership Form

Membership is the life-blood of the NAACP.

Join the Fight for Freedom During Our Membership Campaign

4. PAYMENT Amount Paid: $

Payment Method: Checks and money orders should be made payable to: NAACP with Unit# 1136 in the memo

Check Check #: Cash Money Order Money Order #:

5. IMPORTANT TAX INFORMATION Gifts and contributions to this NAACP Branch are not deductible as charitable contributions. However, a portion of your dues is

passed on to the NAACP National Organization and these payments are tax deductible. Please refer to the table below for the

applicable tax-deductible amount.

The specific amounts that qualify are as follows:

Membership

Type

Full Payment Affiliated Tax

Deductible

Amount

At-Large Tax

Deductible

Amount

Subscribing

Payment

Affiliated Tax

Deductible

Amount

At-Large Tax

Deductible

Amount Regular Adult $30.00 $11.85 $24.00 N/A N/A N/A Youth w/ Crisis $15.00 $10.20 $9.00 N/A N/A N/A

Youth w/o Crisis $10.00 $5.70 $10.00 N/A N/A N/A Corporate Platinum $5,000.00 $2,881.50 $4,760.00 N/A N/A N/A

Corporate Gold $2,500.00 $1,440.75 $2380,00 N/A N/A N/A Corporate Silver $1,000.00 $576.30 $928,00 N/A N/A N/A Corporate Bronze $500.00 $276.30 $452.00 N/A N/A N/A Junior Life $100.00 $54.00 $94.00 $25.00 $9.00 $19.00 Bronze Life $400.00 $234.00 $394.00 $50.00 $24.00 $44.00 Silver Life $750.00 $390.00 $690.00 $75.00 $39.00 $69.00 Gold Life $1,500.00 $840.00 $1,440.00 $150.00 $84.00 $144.00 Diamond Life $2,500.00 $1,440.00 $2,440.00 $250.00 $144.00 $244.00