Lansing Branch NAACP Membership Application
Complete the required fields, select membership type(s) and make payment online, MSUFCU member transfer, or mail check.  
Sign in to Google to save your progress. Learn more
Email *
First Name *
Last Name *
Company Name if Corporate Membership
Phone Number *
Address Line 1 *
City, State, Zip
Membership Options (See PayPal links below for each membership type.)
Contact Treasurer at treasurer@naacplansing.org to receive invoice instead.
 *
Confirm if New or Renewing *
Membership Number (for renewing members)
Confirm payment amount
Date of birth is required for Youth Junior Life and Youth Bronze Life memberships only
MM
/
DD
/
YYYY
Payment Options and Instructions
ONLINE PAYMENTS
See PayPal payment links below for each membership type.  Contact Treasurer at treasurer@naacplansing.org to receive an invoice instead.  Life Membership subscriptions are set for installment payments. Select quantity to make additional payments up to payment in full.
 
After completing payment, copy and paste your "Transaction ID" number below

MSUFCU Member to Member – 
Please include membership type and contact information (address, email address, phone number)

PAYMENTS VIA MAIL

Indicate membership type in the memo section of the check. Make check payable to LANSING BRANCH NAACP and mail to: Lansing Branch NAACP - Attn: Membership, PO Box 15092, Lansing, Michigan 48901 along with a copy of this form.
Select One *
Enter Online Payment "Transaction ID" Number
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
GoogleForms
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google.