2020 Membership Application

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Section 1 of 7

Email address

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Black/African American

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Delta Sigma Theta Sorority, Inc.; Jack and Jill of America, Inc.

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How did you hear about this organization?

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Section 2 of 7

Weekday evening or Weekend morning

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Section 3 of 7

Interests

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Section 4 of 7

Summary

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Section 5 of 7

Name

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Address

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Phone number

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Email Address

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Section 6 of 7

Please submit the invoice with dues at the meeting or mail payable to NCHBCUC to: 
Northern California HBCU Coalition, P.O. Box 24781, Oakland, CA  94615-9719

Note:  All renewal fees are due and payable as of January 1st, regardless of the time that the membership was established. Members whose annual renewal dues are not paid in full by March 1st will be removed from the membership list.

Each paid membership fee entitles one person from one chapter/individual/business to all rights and privileges of membership in the HBCU Coalition. Should more than one person or more than one chapter/individual/business of the same school/company desire membership, additional dues must be rendered.

All new and existing members must complete this membership application as well as submit your payment for dues. No membership is valid until both application and payment are received. The Board of Directors and Executive Committee reserve the right to deny membership to persons not associated with the HBCU Coalition or to those persons who have abused their membership rights in the past.

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that I am accepted as a volunteer, any false statements omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.

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