The Black Academy of Arts and Letters (TBAAL), Inc.
Mailing Address: 650 S. Griffin Street, Dallas, TX 75202 l Physical Address: 1309 Canton St., Dallas, TX 75201
Founded July 17, 1977 l Chartered and Incorporated November 23, 1977 l Curtis King, Founder and President
TBAAL MEMBERSHIP
INIVIDUAL MEMBERSHIP
Circle one: Mr. Mrs. Ms. Dr. Rev.
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Birthday
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Apt. #
GUEST MEMBERSHIP (if applicable)
Circle one: Mr. Mrs. Ms. Dr. Rev.
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Birthday
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Apt. #
Circle one: Mr. Mrs. Ms. Dr. Rev.
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Birthday
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Apt. #
Business / Corporate Membership
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Individual Membership Level Corporate Membership Level
$20 $30 $40 $100 $250 $500 $750 $1,000 $1,500 $2,500 $5,000 $7,500
Payment Method
Check Cash AMEX Master Card VISA Discover Pay Pal Cash App SQUARE
Credit Card #______________________________________ Expiration:_______/________ CVV:____________
OFFICE USE ONLY: TBAAL Department or Volunteer:______________________________ Today’s Date________/________/________