United Native American Cultural Center, Inc.
Membership Application

January 2008 - January 2009
Please note that our membership now runs January to January. This helps in keeping our records.


Membership Fee: $20.00 Yearly __________


Additional Donation:                 __________
(all donations are tax deductible)

Name: ___________________________________

New Membership or Renewal: __________________

Address: __________________________________

City:________________State, Zip Code: __________________________

Telephone #: _________________________

Email Address: __________________________________

Are you a veteran: Yes_____ No_____

If yes, what conflict/s: __________________________________

Please print and complete form. Mail to:

UNACC
P.O Box 711
Ayer, MA 01432

Please, remember to mark if you are renewing your membership or if you are a new member. This helps us for bookkeeping purposes.

United Native American Cultural Center is a non-profit 501(c) 3 volunteer organization. UNACC's mission statement is to be a positive place for peoples of all cultures to gather and educate one another. Our programs are focused on the cultural enrichment and education of our Native American traditions. We welcome the entire community to experience and share in our history, crafts, artworks and music.