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2. Full Name*
3. Phone*
4. Email*
6. Street Address
7. ZIP Code*
9. Why are you interested in joining the African American Coalition?*
11. How did you hear about the African American Coalition?

    1. Sterling Heights City Magazine
    2. Sterling Heights City Website
    3. Sterling Heights City Connect E-News
    4. Sterling Heights City Hall Social Media
    5. SH African American Coalition Social Media
    6. At a Special Event
    7. SH African American Coalition Membership Committee Member
    8. SH African American Coalition Membership QR Code Card
    9. Word of Mouth
    10. Other
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13. 1. Receive an email copy of this form.
14. Email address

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15. Submit

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