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Sudanese Community Center
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
To register online, fill out the form below and click the submit button.
To download a printable form to fill out and return with payment, click here.

Membership Information:   Member
Friend
Membership Fee: $20             
Monthly Fee: $10
Other donations: $
Email:   required
Name:   Title   
Last    required
First    required
Middle
Address:   Street 
City        State     Zip Code
Phone:   Home         Cell
Gender: Male     Female
Job Information: Are you employed? Yes No
Company Name
School Information: Are you enrolled in school? Yes No
School Name
Children:

1st Child Name Age
2nd Child Name Age
3rd Child Name Age
4th Child Name Age
5th Child Name Age
6th Child Name Age

Comments:
This information will be used to provide us with the information we need
to register you, or accept payment or donation --
no direct marketers, telemarketers, spammers, etc. will receive any of your data.

After you register, we will notify you when we are ready to accept payments and donations.

Questions? Email

 

 

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