United African Public Affairs Committee of Washington State

Candidate Form

Please fill in the following information if you are a candidate for a political office in the State of Washington, and would like to get an endorsment from the United African Public Affairs Committee.

Name *
First Name

Last Name
Campaign
Campaign Manager

Campaign Committee
Address
Street Address

City

State

Zip Code
Contact (Phone or Email) *
Email Address (joe@mail.com)

Phone (###) ### – ####

Fax (###) ### – ####
Office
Office Sought

State/District

Political Party
Dates
Primary Date

General Date
Funds
Total Funds to date $

Total Cash on hand $
How did you hear about UAPAC? *