2018 MEMBERSHIP FORM

** SUBMIT PAYMENT & COMPLETE MEMBERSHIP FORM BELOW**

Annual CBA Membership
First Name *
First Name
Issue Areas Covered/Industry *
Ethnicity
(optional)
PAYMENT METHOD *
If you choose to pay in cash please email CBA Treasurer, Keenan Hale (Keenan.Hale@mail.house.gov) to arrange payment.
MEMBERSHIP LEVEL *
For information regarding membership levels please visit: congressionalblackassociates.com/joincba