National Council of Negro Women, Inc.
Co-op City Section
P.O. Box 93
Bronx, New York 10475

Application for Section Membership

 

 

 

Make a difference and join NCNW and help improve the quality of life for Black Women,
our families and our community. Fill out the information below and mail with check to the address above.

 

I am a    __________new member     ___________ renewing member   (Please check one)

 

PLEASE PRINT

 

Date ______________________________

 

 

Name ______________________________________________________________

 

 

Address ____________________________________________________________

   

City _________________________________State____________Zip___________

 

 

Telephone No. (H)______________________________(W)__________________

 

E-mail _________________________________

 

Section Dues: Regular members $15.00            Life members $15.00

                         Regular members must also pay National dues of $30.00

 

Amount $_____________(All contributions to NCNW are tax deductible)

 

 

Signature ____________________________________________________

 

Please select one or more committee(s) listed below to serve on:

 

               Audit_____                       Budget_____                  Education_____             

               Fund raising ___              Recognition ____           Publicity______

 

              Good & Welfare___         International___            Membership____          

              
              Beautification_____          Constitution____          Hospitality______         

 

  Black Women United - A Powerful Force

 

Mary McLeod Bethune          Dorothy I. Height                         Cheryl R. Cooper
Founder CEO                          Chair & President Emerita         Executive Director