JOIN THE FIGHT FOR FREEDOM NAACP Membership information SELECT A MEMBERSHIP: Please print the application and mail it to: NAACP Chester Branch P.O. Box 863 Chester, PA 19016 Date:__________________________ Amount Paid $__________________ Name:_____________________________________________ Street address:___________________________________________ City:______________________________State____________Zip_______________ Unit Affiliation:___________________________ Current Membership No. (if renewal)_______________ Suffix (Degrees, etc.)__________________________________________________ E-mail______________________ Phone (Day) ___________________ Phone (Evening__________________ Are you a registered voter?______Yes ______No Solicitor's Name________________________________________ Membership Information Regular Annual Memberships Regular Adult……………………...………………………………………$30.00 Youth w/ Crisis Magazine…………………………………...……….....$15.00 (available to individuals ages 20 and under). Youth w/o Crisis Magazine……………………………………………...$10.00 (available to individuals ages 20 and under). Prison Membership……………………………………………………….$12.00 (includes Crisis Magazine). Annual Corporate………………………………………………………$5,000.00 Lifetime Memberships Junior Life Membership (available to individuals ages 13 and under).....$100.00 (payable in annual installments of $25.00 or more). Bronze Life Membership (available to individuals ages 14 to20)…......…$400.00 (payable in annual installments of $50.00 or more). Silver Life Membership............................................................................$750.00 (payable in annual installments of $75.00 or more). Gold Life…………………………………………………………………............$1,500.00 (payable in annual installments of $150.00 or more). Diamond Life (available to Gold or Golden Heritage Life Members......$2,500.00 (payable in annual installments of $255.00 or more). Date of Birth:______________________ (Required for Youth Memberships)