TRIBAL MEMBERSHIP FORM | Universal Peace and Prosperity Alliance

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Universal Peace & Prosperity Alliance

To replace fear with hope

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United Tribal Leadership Alliance Membership Form

Contact Person - Full Name

Tribe Name

Email

Place of Birth

How did you hear about us?

Indian, Maiden or other name by which known

Contact No

Member of the Tribe or Direct Descendent of the Tribe?

Where is your tribe origin from?

Date of Birth

Address

City

Postal / Zip code

Line 2

Region/State/Province

Country

Gender

Tribe Website or FB Page (optional)

Are you a Veteran?

Yes

No

Currently Serving

Are your parents from different tribes or same? - mention tribe names below

Identifying Race/Culture

African

African American

American Indian

Hispanic

Asian

Native Hawaiian

White

Other

Marital Status

Single

Married

Widowed

Seperated

Tell us more about your tribe

Thanks for submitting! We will get back to you shortly.

PEACE ADVOCATES

Our Peace Advocates: Algeria, Australia, Bahrain, Bermuda, Botswana, Canada, DRC, Egypt, Guinea-Bissau, Indonesia, Ireland, Italy, Kenya, Liberia, Malta, Malawi, Namibia, New Zealand, Nigeria, Oman, Pakistan, Philippines, Qatar, Saudi Arabia, South Africa, Tanzania, UAE, United States, United Kingdom, Zambia

CONTACT

USA

infouppa3@gmail.com

Working Hours: Mon- Fri 7am - 3pm CST

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