Your Committment

By signing up to be listed as an ally of Create CA, you have the authority to agree to the following: 
* You agree to have your name or the name of your organization listed as a supporter of the CreateCA mission
* You agree to receive our information via newsletter or email
* You understand that CREATE CA will get your approval to list you as a supporter when a particular campaign takes place. Your name will not be automatically listed.

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* 1. Your name or name of your organization as you would like it listed

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* 2. Your contact email

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* 3. City where you reside or where your organization is located

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* 4. Your affiliation

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* 5. If listing organization, please indicate type of organization

By submitting this form, you verify that you have permission to list your organization as an ally. Not applicable if submitting your name as an individual.

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