Individual Contact Information *

First Name

Last Name

Phone

Country

(###)

###

####

How will your organization be able to support the conference?

Select as many as needed

Promoting the conference to your members and on social media

Doing local outreach

Organizing a delegation to attend the conference

Assisting with housing and transportation

Hosting a fundraiser event

Donating

Please verify that you are endorsing the People's Conference for Palestine as the organization indicated earlier and that you have the authority to endorse on behalf of the full organization.

Yes

No