Thank you in advance for becoming a member of CBPM
1. Name:
Last
Male
Female
Nickname
First
2. Mailing Address:
street
street number
Apt #
state or region
city
country
Zip Code
3.  Phone Number
Cell
Home
Business
4. Email Address:
Website Address:
Place of Birth:
5. Birthday:
City/State/Country
Month/Date/Year
6.  How did you hear about the Collective Black People Movement (CBPM)? Be specific.
7.  Tpye of Membership: (All Types of Membership with the CBPM is 27 cents each day.)
a.  Check the type of membership you are interested in with the Collective Black People Movement.
Individual      Student      Elder      Family      Organization      Business      Church      Honorary
b.  Check how you would like to pay your membership (by the month, 3 months, 6 months, or yearly)
Day                 Week                Month               3 Months               6 Months               Year         
27 Cents            $1.89                  $8.10                  $24.30                      $48.60                $97.20
Click Submit:
Page Two - Your Skills Talents and Intelligence
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...   
2,735 Members
Application Process:
a. Page 1 - Contact Information - This Page
b. Page 2 - Your Skills Talents and Intelligence
c. Page 3 - Where You Want To Be Involved
The Collective Black  People Movement (CBPM) Membership Application