Applying for
Full membership (includes e-mail list membership)
Signatory membership (signatory only; no e-mail membership)

Name


Title ("Designated representative" if no formal title)
Note: Applicants *must* be a designated representative of their organization if they do not currently hold a leadership position


Organization


Your e-mail address


Organization's Web site address


Your city/state


Name and e-mail address of a person in your organization who can verify you are its designated representative


Organization's purpose
200 words max


Year organization was founded


Incorporated?
No
Yes Federal status (i.e. 501c3)

Approximate number of members in your organization


Approximate number of U.S. states served by your organization


Why do you want to join the Our Freedom coalition?
100 words max


Briefly describe how your organization meets OF's membership requirements
200 words max


How did you learn about the Our Freedom coalition?


Names of any current coalition members who referred you
Note: Referrals are not necessary for applicants


Any further brief comments
100 words max


By submitting this application you affirm that you have thoroughly read the Our Freedom web site and understand membership requirements and the application process. You also agree to abide by Our Freedom membership and conduct guidelines.

Click on to send your form or to clear the form

Note: Scroll to the bottom of your "form results" after clicking Submit to return to this site. Thank you!