Contributions

Please Complete this Form and Forward to:

The Council of the Obsidian, Inc.
P.O. Box 60828
Washington, DC 20039

Yes, I am committed to Building A Better Tomorrow.

Name _______________________________________________________________________________

Address ______________________________________________________________________________

City _____________________________________________________ State ______ Zip ___________

Phone (day) _______________________________(eve) ____________________________________

Email ________________________________________________________________________________

I can help The Obsidian in its work by:

[ ] Offering my time, energy, and expertise through the Obsidian Network.

___ administrative areas

___ public relations

___ workshops & training (specify areas)

__________________ _________________ ______________

other (specify) ______________________________________

Supporting the work of The Council of the Obsidian, Inc. as a:

[ ] "Dollar a Day" - $365.00 Sustaining Contributor

[ ] $______ Cultural Exchange Scholarship Fund Sponsor

[ ] $______ Fondation Tabax Subë (West Africa Programs)

[ ] $______ General Supporter

[ ] $______ Contributor - The Fund for Micro-Business Development

[ ] Suggesting that the following people be contacted.

Name _________________________________________________________________________________