If you have any problems in becoming a member online please call  678-827-CBPM (2276)
All Membership with the CBPM is 27 Cents each day...   
2,500 Members
If you have any problems in becoming a member online please call  678-827-CBPM (2276).  Your name will be
added to the welcome on the CBPM website footer to let you know the CBPM has received your membership
application. Contact the CBPM at: 678-827-CBPM (2276) if you don't see your name added to the footer in 48hrs.
Thank you inadvance for becoming a member of the CBPM
The Collective Black  People Movement (CBPM) Membership Application
1. Name:
Male
Female
Nick Name
First Name
Last Name
2. Mailing Address:
Apartment
Street Number
Street
State or Region
City
Country
Zip Code
3. Phone Number:
Cell Number
Home Number
Business Number
Your website address:
4. Email Address:
Place of Birth:
5. Birthday:
Month / Day / Year
City / State / Country
6. How did you hear about the Collective Black People Movement (CBPM)? Be Specific:
7. What special skills do you have to benefit our People?:
9. Work Experience: List the areas of work that you are capable of doing for your people.
b.
a.
c.
10. Do you have a Business or Organization?:
a. Name of Bus. / Orga.
Type of Bus. / Org
Website Address/ Location
City
State
Phone Number
b. One Sentence Mission of Business or Organization
c. Name of Bus. / Orga.
Type of Bus. / Org
Website Address/ Location
City
State
Phone Number
d. One Sentence Mission of Business or Organization
e. Check Here to be a Guest Presenter on the CBPM's Sunday Conference Call, 5p - 8p EST         > > > > > > > > > >
11. Type of Membership: (All types of membership with the CBPM is 27 cents a day.)
a. Check the type of membership that you would like with the Collective Black People Movement (CBPM)
Individual        Student        Elder        Family        Organization        Business        Honorary
b. Check how you would like to pay your CBPM Membership Dues (By the Month, 3 Months, 6 Months or Year
Day                Week               Month              3 Months               6 Months             Year
27 Cents            $1.89                $8.10                 $24.30                     $48.60               $98.50
If you signed up as a Family, Organizationm, or Business Member, how many people are in your group?
12. Check the Departments that you would like to be involved with the Collective Black People Movement (CBPM):
All Departments
Activist/Rallies/Letter Writing
Administration
Arts and Crafts
Automotive
Brothers Union
Child Care
Business Operations
Collective Record Company
Computers
Construction
Correspondence
Culture
Dating and Relationship
Dance and Theatre
Education
Documentation
Elder Council
Emergency Preparedness
Employment
Engineering
Farming and Produce
Fundraising
Filming and Recording
History
Health and Nutrition
Hip-Hop
Housing and Shelter
Insurance
Incarceration
Law
Media
Medical
Membership
Physical Fitness
Operations and Management
Political
Promotions
Reggae
Reparations
Repatriations
Research
Safety and Protection
Sisters Union
Special Events
Technology
Spirituality
Sports
Transportation
United Front
Youths Union
Other Department:
13. I would like to be a Coordinator with the Collective Black People Movement (CBPM). Check the Area:
I would like to be the CBPM Coordinate for the following Department(s) of the CBPM:
I would like to be a CBPM Area Coordinate for:
My City
My Country
My State
International Coordinator
Everywhere Black People are, we have to have a Black People Office to organize our People's
Skills, Talents, and Intelligence.  I would like to work on Establishing a CBPM Office in my Area -->
Check:
14.  Check the other Black organizations that you are interested in hearing more about:
All Black Organizations
10-10-50 (African Community Center)
100 Black Men
Africa for the Africans
African Union
All-African People's Revolutionary Party (AAPRP)
Ancient Egyptian Order
Artist Collective
Black Male Community Empowerment Forum
Black Women for Obama
Blackonomics
BOOM (Black Oppression Opposition Movement)
Coalition for Peoples’ Agenda
Concerned Dads Inc.
Cultural Conscious Collective
Dads on Duty
Ethiopian World Federation
Empress of Zion
God's Children and Elders Think Tank
Equienox
Hebrew Israelites
Gullah Inc.
Keeping the Dream Alive
Kwanzaa Association
Life Skills Organization
Malcolm X Center for Self-Determination
Men Stopping Violence
Million Man March Committee
Moorish Science of America
NAACP
Nation of Gods and Earths
Nation of Islam
National Christian Healthcare Network
National Action Network
New Black Panther Party
New Order
NCOBRA
Nubian Nation
Pan African Diaspora Union (PADU)
Per Ankh Khemniversity Institute
Prison Outreach Ministry
Provisional Gov't of Republic of New Afrika (RNA)
Rainbow Push Coalition
Rastafari Community
Sankore African Study Circle
SCLC
Shake up the Plantation
Sons and Daughters of Hariett Tubman
Sons of Children of Color (SOCOC)
SOS Coalition of New Orleans Evacuees
Tag Team Network Marketing
Uhuru Movement
UNIA - Universal Negro Improvement Association
Urban League
World African Diaspora Union (WADU)
Other Organization:
15.  As a member of the Collective Black People Movement, I will be righteous in all dealings  
with the members of the Collective Black People Movement and our people. Please Chech Box > > > > > >
Check Box
16. Membership was obtained by:
17. Today's Date:
Month/Date/Year
Yes
No
18. I am Black African
Verify Membership, All new members:
1. Call 678-827-CBPM to verify your application has been received.
2. Send a picture of yourself with your name and phone number to
admin@cbpm.org
Remember to fill out your Web Page Form at: www.cbpm.org/webpagedesign, to have your web
page online at the CBPM website to promote your works to our People and the World.