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Vie for House of Delegates
If you are already a member, do not select Type of Membership (below).

OPTION #1: APPLY ONLINE

Fill out the following form to apply online to vie for House of Delegates You will then be contacted via phone or e-mail so that your payment information can be processed.

Name:

Address:

City:

State/Provence:

Country:

Zip/Postal:

E-Mail:

Phone Number:

Agent Number (if known):


Type of Membership (select one):

Individual -- $15 Registration Fee + $59 Annual Fee = $74 Total

Husband & Wife -- $19 Registration Fee + $79 Annual Fee = $98 Total

Family (3-5 Persons) -- $25 Registration Fee + $99 Annual Fee = $124 Total

Large Family (6+) -- $25 Registration Fee + $109 Annual Fee = $134 Total

Delegated Organization -- $49 Registration Fee + $150 Annual Fee = $199 Total

Affiliated Organization -- $29 Registration Fee + $0 Annual Fee = $29 Total


If you want to apply for House of Delegates, select a state or organization below:

1st Choice:

2nd Choice:

3rd Choice:

(Only active members with all dues paid in full may be considered for House of Delegates)


Additional Comments/Suggestions:



OPTION #2: APPLY BY PHONE

Your application can be processed quickly over the phone. Have your credit card and information ready and call one of our representatives at:

301-423-4834 or
202-496-5307


OPTION #3: APPLY BY MAIL:

If you prefer you may instead simply download our form and print it out on your printer. Insert the form in an envelope and mail it to:

All Nigeria American Congress
P.O. Box 6500
Largo, MD 20792

Click here to download the form if you are an Individual or Family

Click here to download the form if you are an Organization

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