Rebuilding the International Antiracist Network Database

Information about the Organisation

Please fill in as much information as you can about the organisation you represent

Organisation name*

Name of your organisation in the original language

Organisation name in English

Abbreviation

Organisation address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Organisation phone number

Organisation email address*

Enter Email Confirm Email

Organisation main website

URL address of the main website of your organisation

Other websites

Any other websites managed by your organisation

Facebook page

The address of your organisation's Facebook page. Note: this should be in the form facebook.com/[your Facebook page name]

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Twitter name

Your organisation's Twitter handle

In which of the following fields is your organisation active?*

Please select all that apply

Please specify other*

Organisation description*

Short description (in English) of the organisation and the work it does.

Would the organisation like to subscribe to UNITED E-News?

Yes
No

UNITED E-News is a regular e-mail newsletter which lets you know all the latest news about the UNITED network, our projects, conferences and campaigns.

Would you like contact details for your organisation to appear in the UNITED addressbook?

Yes
No

The UNITED addressbook is a public database of thousands of organisations all over Europe active in the antiracist field.

Is your organisation a supporter of UNITED?*

Yes
No, but we want to become a supporter
No, we don't want to support the UNITED network

You can find more info on how to become a supporter at unitedagainstracism.org/supporters

Publication/ magazine information

Information about publications produced by the organisation

Does this organisation have a regular publication/ magazine

Yes, we have an online publication/ magazine
Yes, we have a print publication/ magazine
No

Name of publication/ magazine

URL of online publication*

Contact people information

Please enter information about a contact person at the organisation we can get in touch with if we need more information about the organisation or its activities. NOTE: We never publish information about individual contacts.

Contact person name*

First Last

Contact person function*

This contact person's role in the organisation

Contact person email address*

Enter Email Confirm Email

Not for publication

Contact person phone number

Not for publication

Would this contact person like to subscribe to UNITED E-News?

Yes
No

Would you like to give details for a second contact person?

Yes
No

Contact person 2*

First Last

Contact person 2 function*

This contact person's role in the organisation

Contact person 2 e-mail*

Enter Email Confirm Email

Not for publication

Contact person 2 phone number

Not for publication

Would this contact person like to subscribe to UNITED E-News?

Yes
No

Comments

Anything else you would like to add

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