This form serves as a way for interested parties to get involved in the USA*ENGAGE campaign. You will be contacted by USA*ENGAGE, but the information you submit will not be shared with any third party.

Your name:
Your title:
Organization:
Street address:
City/State/Zip:
Country:
Phone/Fax:
Email address:

USA*ENGAGE will be coordinating a number of activities with participating member organizations.
Please include whether you would agree to be contacted about the following activities:

Gathering evidence on the costs of sanctions

Meeting with Members of Congress in local district office(s)

Meeting with members of Congress in Washington

Writing letters and/or calling Members of Congress

Participating in local or national media activities

My organization is particularly concerned about the following types of unilateral sanctions:

My organization is interested in participating in a discussion on foreign policy initiatives including:

Would you like to receive occasional email from USA*ENGAGE?

Yes No

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