Lansing Branch 1801 W. Main, Lansing Michigan 48915  (517) 484-9171  (517) 484-5051 Fax www.naacplansing.org

 

MEMBERSHIP FORM

 

 

Please print

                                                                                                                                                                           

Name: _____________________________________________

 

Telephone Number________________

 

Address:______________________________________________

 

City: ____________________ State___________________ Zip___________

 

 

Solicitor________________________________________________________

 

 

Type of Membership:           

 

Regular:  $30.00_____  Life Membership:____  $750.00 / $75 per year for 10 years.

 

 

 

 

 

 

 

PLEASE SEND DIRECTLY TO THE LANSING BRANCH NAACP