ENDORSEMENT
You are being asked to endorse the Blueprint for Functional Unity and the efforts of the
African Community Centers to build and maintain a permanent system of unity among
our people. - Your endorsement empowers this process and it also qualifies you to
participate in our yearly election for new members to the local Unity Council.
To endorse, please complete and submit this short form.  - Thank you,
First Name
 Last Name
Address
State
City
 Zip Code
Phone Number
 Cell Phone
E-Mail Address
Your main organization
Do you own a business?
 Yes
 No
Code #
Sample only