Membership Application for the Black Millionaire’s Network:
Send to: The Black Millionaire’s Network
Post Office Box: 42878
Philadelphia, PA 19101-2878
1.215.471.64.94.
1)_______________________________________________________________________________
Your Full Name
2)________________________________________________________________________________
Current Address
3)_________________________________________________________________________________
Phone Number
4)__________________________________________________________________________________
Membership Fee (Waved) or PAID IN FULL
I especially need help with: Circle ALL That Apply and Specify under Other:
1) Increasing My income:
2) Increasing My Credit Rating:
3) Supporting Black Businesses:
4) Help with preparing to buy a home:
5) Other: Please Specify_____________________________________________________________
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