SUPPORTER CHECKLIST
Please check the box or boxes that indicate your level of support
Thank you for your endorsement. - Some Brothers and Sisters choose to offer
additional support for this effort. If you have resources that you can give, please complete
this form and submit. - Please understand that it is not a requirement to commit money or
time to participate in this process.  Resources are needed, but only from those of us who
can afford to give and who choose to do so.
First Name
 Last Name
E-Mail Address
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1.
COMMITTEE OF 100,000 - I commit to be a member of the COMMITTEE OF 100,000, the primary
funding source for the African Community Centers and the 10-10-50 Campaign. My commitment to
provide financial support is totally voluntary and can be withdrawn or changed at any time. I further
understand that the donation of money does not grant me any special rights or privileges.
All donations are tax deductible.
*Monthly Commitment Level:
$10
$25
$50
 Other Amount:
2.
Unity Volunteer – I commit limited time to help build and administer the Centers and the 10-10-50
Campaign.
*Unity Volunteer Options, Local Center
*Unity Volunteer Options, Central Center
*Councils, Local Center
*Vital Interest Think Tanks
Unity Builder – I commit quality time to help build and prefect the Functional Unity Process         
(system) and to share it among our people.   
3.
Meeting and Office Space:
Are you in control of meeting and/or office space that could be donated to help with this work?   
Yes
 Possibly
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