Membership Is The Key To The NBRHOF This page is for a Membership Request Only

FOR YOUR EXCLUSIVE MEMBERSHIP FILL OUT THE FORM BELOW

Your form message has been successfully sent.

You have entered the following data:

Contact form

Please correct your input in the following fields:

Error while sending the form. Please try again later.

NAME: *

COMPANY AFFILIATE: *

ADDRESS:

E-mail address: *

TELEPHONE/FAX *

I AM JOINING THE CHAPTER OF: *

Captcha (spam protection code) *

*

I agree that I am a member of the Broadcasting Community and thereby submit my biographical information and membership application to the National Black Radio Hall of Fame. I understand that the $100.00 Annual Membership Fee is non-refundable; nor the $25.00 Student Annual Membership Fee (with current ID). A Non-Refundable Lifetime Membership is $1000 and may be paid in a 7 month increment of $142.85 for six months and final payment of $142.90; or you can pay the lifetime fee all at once. BIO's can be emailed to radioprofiles@gmail.com . I hereby agree that my data entered in the contact form will be stored electronically, and will be processed and used for the purpose of establishing contact. I am aware that I can revoke my consent at any time. By submitting this form to the organization, I agree that I will not use this application for any other reason than establishing membership to the organization.

Note: Fields marked with * are required

NOTE:

You may log in to your Paypal account and send your membership payment to Radiobandwave@gmail.com

For any operating chapter.

Once your individual chapter of interest State Registrations are complete; and their financial account is ready for use, you may send your membership payment to the designated chapter's account. All individual chapter accounts must file a federal 990 tax form or 990 tax card during tax time of each year.