Boston Ujima Project

APPLICANT INFORMATION

First Name: Middle/Initial: Last Name: Home Address: City: State: Zip: - Email: Home Phone:

MEMBERSHIP INFORMATION

Birth Date: / / Membership Level:

Voting Membership $25 (For Boston residents; We invite Boston residents who do not identify as working class or POC to consider a Solidarity Membership.)

Youth Membership $5 (Voting membership for people between ages 14 - 24)

Grassroots Membership $15 (Voting membership for members of partner organizations; see list below)

Solidarity Membership $25 - $100 sliding scale (Non-voting membership for supporters who are not residents of Boston proper)

Good Business Membership $15 (Voting membership for Good Business Alliance members and their employees; see list below)

To manage your membership account (i.e., view donation history, renew membership, etc.), please create a login name and password below. Your password must be at least eight characters long, and contain at least one number.

Create a Login Name: Password: Retype Password:

UJIMA MEMBERSHIP SURVEY

Please help us get to know you better by completing our Membership Survey.

2020-2021 Membership Application