DesiOrgs 2005 Sign Up
Thank you for your interests in DesiOrgs.us - we look forward to working with you. Please fill in the information below. More on DesiOrgs.US: http://www.desiorgs.us
All questions to desiorgs@gmail.com
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Our group attended the Dec. 10, 2005 launch in NYC.
Yes, we attended
No, we didn't attend
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Full name of group I represent
Acronym or short name, if any
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Year founded
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Short description of mission (20 words or less)
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Is yours a national or local organization?
National
Local
Both (ie, national org with local chapters/services
If you said you were a local group and not national, which state do you do most of you work in?
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
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Type of organization - check all that apply
Community organization
Grassroots group
Faith-based/religious group
Health-related group
Membership group
Business association
Corporate nonprofit
Philanthropy
Media watchdog
Educational institution
Political Action Committee
Other political-related org
501(c)(3) status - current
501(c)(3) status - pending
501(c)(3) status - not applicable
Other (pl. fill in)
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Communities served by the group (check all that apply). If your main work is only with one community, please check only one box.
General South Asians in America
General Asian Americans
General U.S. population
People/orgs in South Asia itself (not in US)
Bangla Americans
Indian Americans
Indo-Carib Americans
Pakistani Americans
Sri Lankan Americans
Nepalese Americans
Afghan Americans
Bhutanese Americans
Maldives Americans
Tibetan Americans
Hindus
Muslims
Sikhs
Christians
Jains
Jews
Parsis
Other (pl. explain)
Site URL, if any - use format http://www.un.org
Official group e-mail, if any
Group snail-mailing address, if any
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Official group phone number (or most relevant number)
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My title/position is or equivalent of (check all that apply)
Board chair
President
Vice president
Secretary
Program officer
Board Member
Staff
Founder/co-founder
Volunteer
Other
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My last name
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My first name
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My e-mail
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My daytime or cellphone
OPTIONAL: My group is attending. Here are the total number of people we will be bringing. We will bring cash or checks to pay for these folks.
One, $25
Two, $45 ($5 discount)
Three, $65 ($10 discount)
Four, $90 ($10 discount)
I have already filled in a form for another group
*** Any other attendees you are bringing from the same org ***
Attendee #2 Last name
Attendee #2 First Name
Attendee #2 E-mail
Attendee #3 Last name
Attendee #3 First Name
Attendee #3 E-mail
Attendee #4 Last name
Attendee #4 First Name
Attendee #4 E-mail
Any additional comments, feedback, suggestions, etc, are most welcome. Fill in form here or write to desiorgs@gmail.com
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