The Alliance Map Form
Building a map of organizations working on today's oil and gas extraction issues. By adding yourself to The Alliance Map, you are also applying to become a part of the Halt The Harm Network: http://halttheharm.net/apply.
Name
Name of the project or organization
Your answer
Summary
What is this organization's mission?
Your answer
Website
Your answer
Contact
What is the name of the contact person for this group?
Your answer
Email
Your answer
Phone
Use the format: 123-456-7890 (Please only enter a public phone number)
Your answer
Street Address
Your answer
City
Your answer
State *
Your answer
Zip code
Your answer
Category that best describes your entry *
Focus Areas
Does this organization focus on any specific issues? If so, select all that apply:
By adding yourself to The Alliance Map, you are also applying to become a part of the Halt The Harm Network: http://halttheharm.net/apply.
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