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 DROPDOWN menu for membership payment options.  
Life Memberships - Contact Treasurer at treasurer@naacplansing.org to receive invoice to pay additional installments or payment in full.
*
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 link below to pay online.  Life Membership subscriptions are set for installment payments only. Contact Treasurer at treasurer@naacplansing.org to receive invoice to pay additional installments or payment in full.
 
After completing payment, copy and paste your "Transaction ID" number below

MSUFCU Member to Member – 
Please indicate membership type

PAYMENTS VIA MAIL
ADULT 
Make check payable to LANSING BRANCH NAACP and mail to: Lansing Branch NAACP - Membership, PO Box 15092, Lansing, Michigan 48901 along with a copy of your form submission confirmation.

YOUTH
If paying for Youth, Junior Life, or Bronze Life membership please indicate membership type in the memo section of the check and mail to: Lansing Youth Council #3773-B, PO Box 15092,  Lansing MI, 48901
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.
reCAPTCHA
This content is neither created nor endorsed by Google.