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:

General Membership $25 (For Boston residents; If you are a Boston resident who is not from or does not connect to our focus neighborhoods, we invite you to consider joining as a Solidarity Member.)

Youth Membership $5 (For people between ages 14 - 24)

Grassroots Membership $15 (For members of partner organizations; see list below)

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

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

Please create a login name and password below. Your password must be at least eight characters long, and contain at least one number.

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UJIMA MEMBERSHIP SURVEY

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

2018-2019 Membership Application