US Campaign to End the Israeli Occupation : Become a Congressional District Coordinator

Become a Congressional District Coordinator

Please fill out the brief form below to sign up as a Congressional District Coordinator (CDC) with the US Campaign to End the Israeli Occupation.

Read about the roles and responsibilities of CDC's by clicking here.

* First Name

* Last Name

Organization

Title/Position

* E-mail

* Mailing Address

* City

* State

* Zip

* Phone Number

Web Page

Are you a member of the US Campaign?

What is your Congressional district (state and number please)?

* Can we post your name and email address on the US Campaign web site?
Yes
No

List any organizational affiliation/s.

Are these organizations affiliated with the US Campaign?
Yes
No

List any advocacy/organizing experience.

Comments

First Name

* Required Field

End the Occupation

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