Are you registering to become a member of the BLACK INDEPENDENCE MOVEMENT?
We need your
3. Phone number:
4. Membership level:
We're honored to see your involvement with the movement. Once we have your name, state and phone number and your commitment to donate at least $1.00 per month (just $12 for the year) for the standard member level or not less than $5.00 per month ($60 for the year) for the leader member level.
Founder / PLANNING AND STRATEGY COMMITTEE
BLACK INDEPENDENCE MOVEMENT