To pay your annual membership fee by check or money order, please fill out and print this form, then send your check to:
NJOF
c/o Dr. Ronald Myers, Sr.
P.O. Box 29
Belzoni, MS 39038
Please
fill out all applicable information. Membership fees are paid annually.
Juneteenth
Organization:
Sponsoring
Organization
(if not a Juneteenth Organization):
President/Chair:
Address:
City:
State:
Zip Code:
Phone:
(
)
-
Fax:
(
)
-
Email:
Website:
Juneteenth
Celebration Name:
Juneteenth
Celebration Director:
Location
of Juneteenth Celebration:
Year
that Juneteenth Celebration
has been held:
Average
Annual Budget
for Juneteenth Activity:
$
Projected
Budget
for next Juneteenth Activity:
$
Please
select one:
$60 Friend of the NJOF (Individuals Only!)
$120 Affiliate Membership (Juneteenth Organizations Only!)
(Optional)
Comments:
Please
attach any newspaper articles, flyers, programs or other
items about your Juneteenth Celebration. Pay for your membership by credit card below ($5.00 service charge):
