About
About Our Branch
Standing Committees
Meet Eula Gandy Johnson
NAACP National
Leadership
Current Officers & Charter Members
Executive Committee
Branch Presidents
Resources
Make A Donation
Photo Gallery
Membership Application
Employment Discrimination Complaint Form
Non-Employment Discrimination Complaint Form
Police Complaint Center Form
News
Know The Issues
Local News
NAACP National News
Contacts
Shop
+1(954) 764-7604
Donation
Membership Application
Please enable JavaScript in your browser to complete this form.
1
2
3
4
Start Your NAACP Fort Lauderdale/Broward Branch Membership Registration Here
Contact Information
Name
*
First
Last
Home Mailing Address
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Email Address
*
Phone Number
*
Zip Code
Continue
Membership Selections
What do you want to do today?
Choose a Regular Annual Membership Plan
Register for a new membership
Renew an existing membership
Give a membership gift
Register for a corporate/organizational membership
Membership Type
*
Please Choose one….
Youth without Crisis Magazine (Ages 17 & under) – $ 10.59
Women In NAACP (WIN)-For Members Only! – $ 10.59
Regular Adult (Ages 21 & older)* – $ 31.17
Annual Adult + W.I.N. (21 and older) – $ 41.46
Lifetime Junior Life ($100/Payable in annual installments of $25) – $ 103.20
Bronze Life ($400/Payable in annual installments of $50 or more) (Ages 14-20) -Date of Birth – $ 411.90
Silver Life ($750/Payable in annual installments of $75 or more) ** – $ 772.05
Silver Life Subscribing- $75 (10 Installments/optional pay-off earlier) – $ 77.50
Gold Life ($1500/Payable in installments of $150 or more)** Only available to Silver or Regular Life Members – $ 1,545.12
Diamond Life ($2500/Payable in installments of $250.00 or more)** Only available to Gold or Golden Heritage Life Member – $ 2,572.80
Annual Corporate* – $ 5,145.30
Auto Payment
*
Choose One
Yes
No
I am authorizing NAACP Fort Lauderdale/Broward Branch to set-up auto-payment for my annual membersship renewal.
Important Note:
All life memberships come with two payment options, pay in full or installment payments. Members who elect to make installment payments can pay off the balance at any time. To confirm your payoff balance, contact our secretary for a payoff amount.
Next
Gift Recipient Information
Are you offering a Membership to someone else?
*
Please select…
Yes
No
Choose One
Membership Information
Choose a Membership Plan
New Membership
Renewing Membership
Gifting a Membership
Corporate/Organizational Membership
Choose Your Gift Membership Type
*
Please Choose one….
Women In NAACP (WIN)-For Members Only! – $ 10.59
Youth without Crisis Magazine (Ages 17 & under) – $ 10.59
Regular Adult (Ages 21 & older)* – $ 31.17
Annual Adult + W.I.N. (21 and older) – $ 41.46
Lifetime Junior Life ($100/Payable in annual installments of $25) – $ 103.20
Bronze Life ($400/Payable in annual installments of $50 or more) (Ages 14-20) -Date of Birth – $ 411.90
Silver Life ($750/Payable in annual installments of $75 or more) ** – $ 772.05
Silver Life Subscribing- $75 (10 Installments/optional pay-off earlier) – $ 77.50
Gold Life ($1500/Payable in installments of $150 or more)** Only available to Silver or Regular Life Members – $ 1,545.12
Diamond Life ($2500/Payable in installments of $250.00 or more)** Only available to Gold or Golden Heritage Life Member – $ 2,572.80
Annual Corporate* – $ 5,145.30
* Includes a 1-year subscription to The CRISIS Magazine ** Fully-paid Lifetime 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
Gift Recipient First & Last Name
*
Gift Recipient Email
*
Cell Phone
Next
Affiliations
Greek Affiliation
Choose One
Alpha Phi Alpha Fraternity
Alpha Kappa Alpha Sorority
Kappa Alpha Psi Fraternity
Omega Psi Phi Fraternity
Delta Sigma Theta Sorority
Phi Beta Sigma Fraternity
Zeta Phi Beta Sorority
Sigma Gamma Rho Sorority
Iota Phi Theta Fraternity
Are you interested in volunteering at our events?
Please choose one…
—
Yes
No
If you selected yes, One of our volunteer membership committee representative will contact you with more information.
Enter Your Payment Information
Card Holder's Name
*
First
Last
Billing Address
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Stripe Credit Card
*
Card
Name on Card
Total
$ 0.00
Signature
Clear Signature
Submit Membership Form Now
0
Basket
Quantity: 0
Items: 0
The Cart is Empty
No Product in the Cart!
Apply Coupon
Cart Total
$
0.00
Discount
$
0.00
Subtotal
$0.00
Continue Shopping
View Cart
View Checkout
X