Sign-Ons to Statement Organized by the Washington Working Group for the International Criminal Court

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Please indicate if you and/or your organization(s) would like to sign on to the below statement. As the Washington Working Group's mandate is focused on US engagement with the ICC, this statement is intended for US individuals and US-based organizations. We recognize that a number of complementary international, regional, and national initiatives are also underway, and we encourage organizations and individuals outside our remit to join or lead those efforts as appropriate.

Link to statement: Statement of Washington Working Group for the ICC

Email *

Name *

Are you signing as an individual and/or on behalf of an organization? *

Individual

Organization

Both

If signing as an individual, please indicate your preferred title.

If signing on behalf of an organization, please indicate name of organization

If you represent multiple organizations that are signing on, please use this space to indicate other(s).

I confirm I am authorized to sign on behalf of the above organization(s). *

Yes

Signing in an individual capacity

If signing on behalf of an organization, please confirm organization's US affiliation (again, we sincerely hope international groups will join other actions, but limit this current letter to US organizations given our particular mandate).

Registered in US (e.g. 501c3 license or other status)

Based in US

Both

Neither - please reconsider signing

Other:

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I would like to be added to the WICC mailing list. *

Yes

Already on the list

Please use this space for any other comments.

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