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Membership Type *	Regular Adult Membership ($30.00) {Ages 21 & Older) Adult Subscribing Life Member ($75.00) Lifetime Membership are paid in Annual installments Of $75.00 Fully Paid Life Membership ($750.00) Youth Membership ($15.00) Memberships Include a 1-year subscription to The CRISIS Magazine (ages 20 & Under) Junior Life Membership (Ages 13 and Under) ($100.00)* Lifetime Membership payable in annual installments Of $100.00 Bronze Life Membership (Ages 14-20) ($400.00)* Fully Paid Youth Membership Ages 14-20) **Fully-paid Life Memberships include a 10-year subscription to The CRISIS Magazine
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Unit Affiliation Number * The NAACP Brooklyn Branch's Unit Affiliation Number is 2207 The Brooklyn Youth Council Membership's Affilation Number is 2800	2207 2800
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Solicitor's Name * Please Type The Name Of The Person That Refered You
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