CERTIFICATE OF NON-ETHNICITY

I do hereby solemnly swear, on penalty of forfeiture of all
rights to wear this garment, forfeiture of the garment itself,
and forfeiture of all claims to be called a loving American,
that I am NOT

Name :

Address (optional) :
Street
City   
State   ZIP

E-Mail (optional)

 

SpeakofLove certified
Date: