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Membership Application

CLICK HERE to download the Membership Application to fax or mail
Please select the Team, if any, for which you are submitting your Membership Application.
Team AT&T Shannon’s Shining Stars
Team Coca Cola (CCBCC) Team Park Ministries
Team Wilkinson & Associates Team SMTM (Dr. Graham’s Team)
TeamPrudential Carolinas Realty Team Time Warner Cable
Team McPherson & Friends Team Enterprise Rent A Car
The Diamond Group Movers and Shapers
Charley's Angels  
First Name:
Last Name:
Title:
Company:
Work Address:
City:
State:
Zip Code:
Home Address:
City:
State:
Zip Code:
Home Phone:
Business Phone:
Email Address:
How did you hear about the Urban League?:
Preferred mailing address: Work Home
Age:            Sex: Male Female          Race:

Is this a renewal membership? Yes   No

Automatically Renew my Membership on an annual basis. A receipt will be sent each year.

 



Membership Options: Please indicate your preference by checking the appropriate box.
All Memberships Levels Include:
- 1-yr. Membership
- Email Club
- Invitation to special events (including Annual Meeting)  
  and free seminars
- Discounts for various clubs, programs, and services
- Acknowledgement in Annual Report

ALL MEMBERSHIPS AT $50 AND ABOVE ARE INVITED TO JOIN EITHER OUR GUILD OR YOUNG PROFESSIONALS AUXILIARY GROUPS.

 

President’s Circle Member   
$1000 and above

Silver Circle Member
$100*
Please type your specific President’s Circle Membership amount here:
Supporter
$50
Empowerment Circle Member 
$500*
Student/Friend 
$25

Gold Circle Member    
$250*

Little Urban Leaguer (12 & under)
$15
     

Additional Donation to the Urban League

If you would like to make an additional donation along with your membership fees, please indicate the exact amount below.


*Please check here if you wish to participate in an UL auxiliary group:
Guild Young Professionals

Billing Options:
BILL ME LATER
Credit card:
Cardholder name:
Card number:
Expiration date:

If you would like to make multiple payments over time, please describe your Monthly Billing preference below.



  each month for months


All Memberships are ANNUAL from the date of application. Check out our many volunteer opportunities listed on the website and sign up today! Click here to sign up as a volunteer.

   
  Click here to access our Volunteer Application

 
740 West Fifth Street Charlotte, NC 28202 · Phone: 704.373.2256 · Fax: 704.373.2262 · Contact Us ·  · Privacy Policy