Please Print Date_______________
Mr./Mrs./Ms._____________________________________________________________________
Street Address___________________________________________________________________
City_____________________________State________________________Zip________________
Are you a registered voter?___Yes___No
Regular Annual Membership Lifetime Membership
Regular Adult...........$30.00_____ Junior Life-(Date of Birth________________)..$100.00_____
Youth with Crisis.......$15.00_____ Bronze Life-(Date of Birth)______________ )..$400.00_____
Youth without Crisis...$10.00_____ Silver Life................................................$750.00_____
Annual Corporate......$5,000_____ Gold Life..............................................$1,500.00_____
Diamond Life........................................$2,500.00_____
Please mail this completed form along with your payment to:
The Wichita Branch NAACP
829 N Madison St
Wichita, KS 67202
Thank You for your support
.Membership is the life-blood of the NAACP. We depend on our members’ generosity to insure the NAACP’s independence. We depend on you to keep the flames of freedom burning bright!
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. The specific amounts that qualify are as follows:
Membership Type Member Rate Tax Deductible Amount
Youth (without Crisis).........................$10 .................................$.5.70
Youth (with Crisis)..............................$15 ................................$ 4.20
Adult.................................................$30 ................................$11.85
Junior Life (ages 13 and under)...........$100 ................................$56.40
Bronze Life (ages 14-21)....................$400 ..............................$236.40
Silver Life..........................................$750 ..............................$414.00
Gold Life..........................................$1500 ..............................$864.00
Diamond Life....................................$2500 ............................$1464.00
Corporate.........................................$5000 ............................$2996.40