Sliding Scale Application for Individuals of African Descent

Thank you for your interest! Please make sure to read the Principles of Unity before filling out this form. The Black Alliance for Peace is a member supported organization and understands if you are unable to afford the $25 annual fee for Africans who want to join as individual members. Please select an annual fee that you can afford. Problems with this form? Email membersupport@blackallianceforpeace.com

Sliding Scale Options

Please renew my membership automatically.

↻ Recurs yearly starting immediately

Total Amount

Application - Individual of African Descent

First Name *

Last Name *

Pronouns

Are you of African descent? *

Yes

No

Have Read and Agreed to the Principles of Unity *

Yes

Describe past and current political and organizational work you’ve been involved in that serves people of African descent. *

Email Address *

Phone *

.

Mailing Address (optional)

Apt / Building #

City *

State *

Postal Code

Country

Non English Known Languages - Spoken or Written