2024 MEMBERSHIP FORM

Name *

First Name

Last Name

Which are you?

Washington DC Staff

District Staff

Both

Issue Areas Covered/Industry *

Agriculture

Appropriations

Armed Services

Budget

Civil Rights

Defense

Education

Energy/Environment

Faith Groups

Financial Services

Foreign Affairs

Health care

Homeland Security

Housing

Immigration

Intelligence

Judiciary

Labor

LGBTQ

Natural Resources

Press/Communications

Science, Space & Technology

Scheduling

Small Business

Taxes

Telecommunications

Trade/Economics

Transportation

Veteran Affairs

Ethnicity

(optional)

African American

Asian/Pacific American

Black

Hispanic/Latino

White/Caucasian

Native American

Other

Gender *

Female

Male

Other

MEMBERSHIP LEVEL

For information regarding membership levels please visit: congressionalblackassociates.com/joincba

Trailblazers Circle

Priority Membership (General)

Emerging Leader (Intern)

Are you new to CBA? *

Yes

No

Are you already receiving CBA emails and newsletters?

Yes

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How did you pay your dues? *

Please be sure to submit your payment via Paypal and completely fill out this membership form.

Venmo

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