Alternate ROOTS Membership Renewal Form

How do you identify ethnically? (Check all that apply)

Arab, Arab American, Middle EasternAsian, Asian AmericanBlack, African AmericanIndigenous, Native American, First PeoplesLatinx, HispanicNative Hawaiian, Pacific IslanderWhite, EuropeanWrite In OptionMENASAAPI (Middle Eastern, North African, South Asian, Pacific Islander)

$0 Dues During Alternate ROOTS Free Membership Window.

Would you like to make a donation?

YesNo

Amount

Would you like to donate a membership?

YesNoEach Membership is equivalent to $40

Number of memberships to donate.

* NOTE:
Once you complete your payment you will be directed to ROOTS Member Directory Form. Please complete or update your member profile including high resolution image. Always keep your profile up to date. Thank you for renewing your membership!

Please mail your check (payable to "Alternate ROOTS") to our office at: 1270 Caroline St Box D120-353 Atlanta, GA 30307