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THE SANTA FE N.M. CHAPTER OF THE NAACP

Please print out this form and mail it with a check or money order to the address below.

Mail to: Membership Chair, Santa Fe NAACP, P.O. Box 15692, Santa Fe, NM, 87506-15692.

For information please phone (505) 424-6100 and leave message.

 

$30   Annual fee for each adult. (Includes a subsription to the monthly Crisis magazine).

$10   Annual fee for each child. (Child Crises subsription - $5.00).

$750  Life membership. Payable in yearly installments of $75.00. inlcudes subsription to Crises.

$100  Child life membership

 

Total adult memberships ___________________________

Total child memberships ___________________________

Donations to the Santa Fe Branch,

(Not tax deductable). _____________________________

Names:

Adult __________________________________________________

_______________________________________________________

Children _______________________________________________

_______________________________________________________

Address _______________________________________________

______________________________________________________

______________________________________________________

Contacts: (Phone, fax, email) _____________________________

______________________________________________________