Equatoria South Sudanese Community Association

Membership Form

PLEASE NOTE: It is important that you complete all parts of this application. If you have no information to enter in a section, please write N/A

By signing this form, I consent to the terms and regulations of the Equatorian Community in by paying my subscription fee of $24 on time and abide by the constitution of ESSCA-USA. I also understand that the information obtain from me by the executive office would not be used for purpose other than the objective to enhance the unity of Equatorian People in the United States of America. Member’s Signature