Page Title

Building Contributer and Helpers

Builders' request for more Information

Use this form to contact us to comment and get more information about
our Building committee.


	Your Name:



	Your E-mail Address:



	Your Phone Number:


I,_________________, understand and agree with the mission of the Black community Center and the conditions for becoming a Building Committee Member which includes the offer of a building that I own, contributing the property, without cost to the Black Community Center. The building that I own and will contribute voluntarily to the Black Community Center will be used in any manner to accomplish the centers' mission, is located at the following address: Address_________________________________________________________ (City),_________________________ (State),________________________ (Zip Code)______________________ I will be able to attend___ I will not be able to attend___ Wednesday Meeting at 6:30pm on the following June 27th 2007 date:_____________ ____________________________ ____________________________