Dallas-Fort Worth Association of Black Journalists
Membership Application
First & Last Name *
Date
Date of Birth
Home Address
City & State
Zip Code
Home Phone Number
Fax Number
Cell Phone Number
Email Address
Professional Title/ Position
Work Responsibilities
Other Professional Affiliations
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New Member's Sponsor name
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Dues Structure: $40 Full Members, $40 Associate Members, $10 Student, $500 Corporate
Required
Full-time Student
School Attending
Major/Minor
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