Group registration form
This form is for Regional Liaisons, National Coordinators and Local Coordinators, to register general group information. Data will be publicly shown on a map on the main website for rebels to easily find, and get in touch with their national and local groups.
Please only provide details that you're comfortable sharing. If there's any information that the International Support Team should know of, please send us a message on xr-international@protonmail.com so we keep track of what's happening around the world.
Are you registering a National or a Local group? *
Country *
Your answer
State/Province *
Your answer
City *
Your answer
Office address (if relevant)
Your answer
Main (public) email address
Your answer
Website URL
Your answer
Social Media account 1
URL
Your answer
Social Media account 2:
URL
Your answer
Social Media account 3:
URL
Your answer
Mattermost Team invite link (Won't show on the map)
Your answer
Contact person (won't show on the map)
Your answer
Email address contact person (won't show on the map)
Your answer
Anything else? (won't show on the map)
Your answer
Submit
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