ENDORSER / SUPPORTER
You are being asked to endorse the African Community Centers and its efforts to build
and maintain a permanent (intergenerational) system of unity among our people. - Your
endorsement empowers this process and also qualifies you to participate fully in this
process for life. To endorse, please complete and submit this short form.  - Thank you,
Last Name
First Name
Address
City
State
 Zip Code
Phone Number
Cell Phone
E-Mail Address
Your main organization
No
 Referred by:
Do you own a business?
 Yes
*You are also encouraged to become a Supporter and donate money and/or time
to help build and maintain the system of Functional Unity.
*Please check the box or boxes that indicate your level of support
DONOR - 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to provide financial support is totally voluntary and can be withdrawn or changed at any time.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.
$10
 $50
$25
 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, Central Center
*Unity Volunteer Options, Local Center
*Vital Interest Think Tanks
 *Councils, Local Center
3.
 Unity Builder – I commit quality time to help build and maintain the system of Functional Unity and to
share and promote it among our people.   
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
1.
*Monthly Commitment Level: