Make sure you use the proper form for each membership type. Some pages may be blank.

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1 Instructions on completing the PF membership form: lick your left mouse in the form field you wish to complete. cursor will appear and the information can be typed into the proper field. If there is a check-box, simply hit the space bar to place a check in the field. Use the tab key or mouse to navigate to the next field. Make sure you use the proper form for each membership type. Some pages may be blank. Information that remains the same on every page, such as name of Secretary, date, etc., will only need to be typed once and it will be automatically duplicated on subsequent pages. Please save form to your computer to fill out. Printing the PF membership form: Once the membership form has been completed, go to the File menu and choose the Print menu. Indicate the range of pages you wish to print to avoid printing blank pages. You may need to perform this function several times depending on the kinds of memberships your ranch receives in any given report period. Retain a printed copy for ranch records, and submit a copy to National with your membership share. (You will not be able to save the file with the completed info using crobat Reader.)

2 1. The ranch onstitution (rticle V, Sec. 4) requires that all ships be reported to the National within fifteen days after their receipt in the ranch. It is the duty of the ranch Secretary to see that this is done. 2. ll membership reports, whether they contain one (1) membership for one hundred (100), must be made on the regular report forms furnished by the National. o not report memberships in letters or on other types of stationery. 3. The effective date recorded will be the assigned effective date to all members remitted on the reporting form. Instructions to ranch Secretaries 9. fter completing the membership report form and receiving the check from the treasurer, make a photocopy of all reports and checks for accurate records and future concerns. 10. uring the various membership campaigns, send a report at least once a week or every fifteen days. o not wait until the campaign is over to make your reports. 11. When a member complains of failure to get the risis, send in the name and address of that member and the date of the report in which the membership was remitted to the ship epartment here at the National. 4. omplete names and addresses must be given for all members. IMPORTNT: TO REPORT HNGE OF RESS PLESE HEK THE OX PROVIE IN RESS OLUMN. Please include addresses and telephone numbers when possible. 12. There are no Mr. & Mrs. ships to the NP, each membership must be listed individually. 13. Make an exact copy of every ship Report sent to the National. Keep report copies in a loose-leaf notebook, a binder, or on the computer in chronological order. 5. o not abbreviate names of cities and streets. 6. See that zip codes are indicated for all addresses in your reports. 7. Keep a record of ship Numbers obtained from memberships sent to the ranch. Transcribe the number to the membership report for each renewal for easier tracking. NP ship ues Sharing Formula with odes ship Type mount Paid National ode Regular R Youth w/risis T Youth w/o risis U 8. The Enter Effective the Expiration ate listed ate the of top each of the membership form will be in the the space defaulted provided. Effective If no date ate appears for all memberships in this space, on the the end report of the form. month, one year from the date on the report will be used.

3 1. Name. Enter full name of individual member, business or organization. If space is not sufficient to enter the entire name of a business or organization, please abbreviate where possible. 2. ddress. Indicate address where membership information, the risis magazine, and ultimately where the plaque will be shipped. If there are special instructions, attach separate correspondence. omplete, legible names of cities and streets are required. No abbreviations! IMPORTNT: TO REPORT HNGE OF RESS PLESE HEK THE OX PROVIE IN RESS OLUMN. Please include addresses and telephone numbers when possible. 3. Paid y. Enter payment in box marked. PLESE NOTE: The minimum annual life membership payment should be - Junior Life 25.00; Teen Life (Old Rate) 50.00; Life ship (Old Rate) 50.00; Silver Life 75.00; Golden Heritage (Old Rate) ; Gold Life and iamond Life Instructions for ompleting Life ship Report Forms 7. ship Number. If reporting a "renewal" subscribing payment, enter the membership number found on membership card. 8. Enter the Expiration ate of each membership in the space provided. If no date appears in this space, the end of the month, one year from the date on the report will be used. NP ship ues Sharing Formula With odes ship Payment mount Type Plan Paid Nat'l Junior Life (ges 13 and under) Teen Life (ges 14 to 20) (old rate) ronze Life (ges 14 to 20) Life ship (old rate) 4 Years 10 Years ode K L Y Z 0 1 G H H 4. Portion. Enter the appropriate share retained by the ranch in box marked. Silver Life 10 Years mount Remitted to National. Enter the appropriate payment made to National in box marked. Golden Heritage (old rate) 10 Years Prior Payments y. Enter total Prior Payments in box marked. Gold Life 10 Years iamond Life 10 Years

4 NP ship ues Sharing Formula with odes ship Type mount Paid National ode Regular R Youth w/risis T Youth w/o risis U ship Type Junior Life (ges 13 and under) Payment Plan 4 Years mount Paid Nat'l ode K L ronze Life (ges 14 to 20) Silver Life 10 Years Gold Life 10 Years iamond Life 10 Years

5 NTIONL SSOITION FOR THE VNEMENT OF OLORE PEOPLE 4805 Mt. Hope rive altimore, Maryland (410) MEMERSHIP SUMMRY REPORT Effective ate Name of ddress (ity, State, Zip) MEMERSHIP TYPE TOTL MEMERSHIPS TOTL MOUNT RETINE Y UNIT REMITTE TO NT'L OFFIE ULT (GES 21 & OVER) YOUTH W/O RISIS (GES 17 & UNER) YOUTH W/RISIS (GES 20 & UNER) JUNIOR LIFE (GES 13 & UNER) RONZE LIFE (GES 14 TO 20) SILVER LIFE GOL LIFE IMON LIFE NNUL ORPORTE TOTL Name of Secretary (Please print) Phone ( ) ddress of Secretary ity State Zip Secretary's Signature ddress

6 ULT MEMERSHIP REGISTRTION FORM National ssociation for the dvancement of olored People 4805 Mt. Hope rive altimore, Maryland No. (Please fill in No.) Name of ddress (ity, State, Zip) Effective ate NME FULL RESS ( Include Zip ode) Paid y National ship Number mount remitted Name of Secretary (Please print) Secretary's Signature TOTLS

7 ULT MEMERSHIP REGISTRTION FORM National ssociation for the dvancement of olored People 4805 Mt. Hope rive altimore, Maryland No. (Please fill in No.) Name of ddress (ity, State, Zip) Effective ate NME FULL RESS ( Include Zip ode) Paid y National ship Number mount remitted Name of Secretary (Please print) Secretary's Signature TOTLS

8 ULT MEMERSHIP REGISTRTION FORM National ssociation for the dvancement of olored People 4805 Mt. Hope rive altimore, Maryland No. (Please fill in No.) Name of ddress (ity, State, Zip) Effective ate NME FULL RESS ( Include Zip ode) Paid y National ship Number mount remitted Name of Secretary (Please print) Secretary's Signature TOTLS

9 YOUTH MEMERSHIP W/O RISIS REGISTRTION FORM National ssociation for the dvancement of olored People 4805 Mt. Hope rive altimore, Maryland Only vailable to Individuals ges 17 and Under No. (Please fill in No.) Name of ddress (ity, State, Zip) Effective ate NME FULL RESS ( Include Zip ode) Paid y National ship Number mount remitted Name of Secretary (Please print) Secretary's Signature TOTLS

10 YOUTH MEMERSHIP W/O RISIS REGISTRTION FORM National ssociation for the dvancement of olored People 4805 Mt. Hope rive altimore, Maryland Only vailable to Individuals ges 17 and Under No. (Please fill in No.) Name of ddress (ity, State, Zip) Effective ate NME FULL RESS ( Include Zip ode) Paid y National ship Number mount remitted Name of Secretary (Please print) Secretary's Signature TOTLS

11 YOUTH MEMERSHIP WITH RISIS REGISTRTION FORM National ssociation for the dvancement of olored People 4805 Mt. Hope rive altimore, Maryland Only vailable to Individuals ges 20 and Under No. (Please fill in No.) Name of ddress (ity, State, Zip) Effective ate NME FULL RESS ( Include Zip ode) Paid y National ship Number mount remitted Name of Secretary (Please print) Secretary's Signature TOTLS

12 YOUTH MEMERSHIP WITH RISIS REGISTRTION FORM National ssociation for the dvancement of olored People 4805 Mt. Hope rive altimore, Maryland Only vailable to Individuals ges 20 and Under No. (Please fill in No.) Name of ddress (ity, State, Zip) Effective ate NME FULL RESS ( Include Zip ode) Paid y National ship Number mount remitted Name of Secretary (Please print) Secretary's Signature TOTLS

13 JUNIOR LIFE MEMERSHIP REGISTRTION FORM National ssociation for the dvancement of olored People 4805 Mt. Hope rive altimore, Maryland ONLY VILLE TO INIVIULS GES 13 & UNER. No. (Please fill in No.) Name of ddress (ity, State, Zip) Effective ate 1. NME FULL RESS (Include Zip ode) Paid y % National ship Number mount remitted Name of Secretary (Please print) TOTLS Secretary's Signature

14 RONZE LIFE MEMERSHIP REGISTRTION FORM National ssociation for the dvancement of olored People 4805 Mt. Hope rive altimore, Maryland ONLY VILLE TO INIVIULS GES 14 TO 20. No. (Please fill in No.) Name of ddress (ity, State, Zip) Effective ate 1. NME FULL RESS (Include Zip ode) Paid y % National ship Number mount remitted Name of Secretary (Please print) TOTLS Secretary's Signature

15 SILVER LIFE MEMERSHIP REGISTRTION FORM National ssociation for the dvancement of olored People 4805 Mt. Hope rive altimore, Maryland No. (Please fill in No.) Name of ddress (ity, State, Zip) Effective ate 1. NME FULL RESS (Include Zip ode) Paid y % National ship Number mount remitted Name of Secretary (Please print) TOTLS Secretary's Signature

16 SILVER LIFE MEMERSHIP REGISTRTION FORM National ssociation for the dvancement of olored People 4805 Mt. Hope rive altimore, Maryland No. (Please fill in No.) Name of ddress (ity, State, Zip) Effective ate 6. NME FULL RESS (Include Zip ode) Paid y % National ship Number mount remitted Name of Secretary (Please print) TOTLS Secretary's Signature

17 GOL LIFE MEMERSHIP REGISTRTION FORM National ssociation for the dvancement of olored People 4805 Mt. Hope rive altimore, Maryland Page No. (Please fill in No.) ONLY VILLE TO FULLY PI LIFE (500) OR SILVER LIFE MEMERS Name of ddress (ity, State, Zip) Effective ate of 1. NME FULL RESS (Include Zip ode) Paid y % National ship Number mount remitted Name of Secretary (Please print) TOTLS Secretary's Signature

18 IMON LIFE MEMERSHIP REGISTRTION FORM National ssociation for the dvancement of olored People 4805 Mt. Hope rive altimore, Maryland ONLY VILLE TO FULLY PI GOLEN HERITGE OR GOL LIFE MEMERS No. (Please fill in No.) Name of ddress (ity, State, Zip) Effective ate 1. NME FULL RESS (Include Zip ode) Paid y , , % National , ship Number , , , , , , , , , , , , mount remitted Name of Secretary (Please print) TOTLS Secretary's Signature

19 NNUL ORPORTE MEMERSHIP REGISTRTION FORM National ssociation for the dvancement of olored People 4805 Mt. Hope rive altimore, Maryland No. (Please fill in No.) Name of ddress (ity, State, Zip) Effective ate NME FULL RESS ( Include Zip ode) Please circle each amount pertaining to the new member Paid y 60% National orporation ship Number mount remitted Name of Secretary (Please print) Secretary's Signature TOTLS

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