Become A DMV2016 Partner

Partnership Form

Yes, our organization wants to partner and participate in Disability Matters: Vote 2016 (DMV2016).
Our organization agrees to:

Comply with the non-partisan nature of DMV2016
Actively promote DMV2016 throughout our organization and with your constituents
Gather and contribute information on priority disability issues
Help, where possible, to recruit volunteers to work in selected constituencies

Benefits of being a partner:

Acknowledgement on DMV2016 website
Ready access to DMV2016 print and electronic materials
Input into shaping selected priority disability issues
Opportunity to participate in the Great 2016 Disability Debate

Question Title

* The Organization

Name

Address

City/Town

Province

Postal Code

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* Website (if applicable)

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* Primary Contact Person

First name

Last name

Position

Email Address

Phone Number

Question Title

* Are you the primary contact person?

Yes

No