Organization form

Name of organization *

Name of person authorized to sign on behalf of the organization *

First

Last

Title or role in the organization *

Email of authorizing person *

Name of primary contact person for the coalition (if different)

First

Last

Email of contact person

This organization is in agreement with the basic demands of the Warheads to Windmills campaign and wishes to join with other organizations to implement this campaign.

Yes

Are you interested in joining a subgroup to help advance the Coalition's goals?

The subgroup on growing the membership of the coalition
The Congressional Lobbying Subgroup
Pressuring the Profiteers
Treaty Implementation
Book Promotion
State Coalitions

Other areas of interest:

We agree to use the following tools to involve our members/supporters in joint activities of the coalition, such as letter-writing campaigns, etc.

We have an Action Network account and will use that to email supporters
We are willing to set up an Action Network account to use for this purpose
We will use an e-newsletter to send supporters the appropriate links
We will include coalition links in regular email blasts
We will put coalition activities on our website and/or on a Facebook page

Other tools we will use to involve our members/supporters in the campaign:

Warheads to Windmills

Address
c/o NuclearBan.US
59 Gleason Rd
Northampton, MA 01060