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MEMBERSHIP APPLICATION


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Name

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Mailing Address

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Mailing Address 2 (City/State/Zip)

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Summer Address (if different than above)

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Summer Address 2 (City/State/Zip)

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Day Phone

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Evening Phone

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E-mail


The Crisis Magazine is published by the National NAACP. All members receive it, except special youth memberships of $10.00.

Types of Annual Memberships:

( ) Regular adults (over 21) $30.00
( ) Youth with Crisis $15.00
( ) Youth without Crisis $10.00
( ) Additional contribution $__________

We welcome contributions in all amounts.

Please call us about Life Memberships, Subscribing Memberships and Organizational Memberships.

Please make checks payable to MV/NAACP

Please include your post office or rural route box number, not your street address. If you live at a different address during different times of the year, include both (or all) of them and indicate which months you live at each.

Please print and complete our membership application information and mail with your check (or money order) to:

NAACP of Martha’s Vineyard
P O Box 1513, Oak Bluffs MA 02557





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