You can apply as a guest. Want to track your membership online later? Create an account (optional). Applicant Application Type New Member Membership Renewal Prefix First Name * Middle Initial Last Name * Address * City * State * Zip * Country Email * Cell Phone * Home Tel Work Tel Date of Birth Gender Male Female Other Service Present Status * Active-Duty Reservist National Guard Retired Veteran (180 days with honorable discharge) Veteran (honorable discharge) Veteran (other than honorable discharge) Non-Veteran (Associate Member) Branch of Service Type of Discharge Service Dates I can provide a copy of my: DD214 Veterans ID Additional (optional) Referred by Occupation Company Other Memberships Membership Type Choose your membership * — Select — Annual Membership — $40 Gold — $300 Silver — $200 Two-Year Membership — $70 Three-Year Membership — $95 Silver Life Membership — $300 Gold Life Membership — $600 Diamond Life Membership — $1,200 Additional tax-deductible contribution ($) I attest that I will abide by the principles and policies of the National Association for Black Veterans, Inc., and will assist in promoting positive lifestyles for veterans, their families, and the community, with emphasis on the unmet needs of minority veterans and youth development. * Type your full name as your signature * Continue to Payment
