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Millennium March Endorsement 15842 Chase St. North Hills, CA 91943 MILLENNIUM MARCH ON WASHINGTON
ENDORSEMENT:
The ______________________________________ organization endorses the Millennium March on Washington.
Representative's Name: _________________________________ Representative's Title: _________________________________ Representative's Signature: _________________________________ Mission of Organization: ____________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________
Number of members: _________ Address: ________________________________________ __________________________________________
__________________________________________
Phone: _____ - _______ - _________ Fax: _____ - _______ - _________ E-Mail: ______________________________ Website: ___________________________________
LEADERSHIP COUNCIL:
We designate ______________________
to serve as our representative on the Millennium March on Washington
Designee's Title: __________________________________ Designee's Signature: ______________________________ Designee's Address: _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________
Designee's Phone: _____ - _______ - _________ Designee's Fax: _____ - _______ - _________ Designee's E-mail: ______________________________
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You
may use this endorsement in a public manner.
