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Organization Online Renewal Form

This form is for organizational members to renew dues for the 2011-2012 membership year.

Please fill out form as completely as possible for the organization's main contact. Once you have submitted the form, you will be prompted to add additional staff contacts.

If you have any questions, please contact Ana K. Carrion at acarrion@detentionwatchnetwork.org or call 202-393-1044 ext. 241.

Thank you!

Name of Organization:

Please enter the name of your organization as you would like it to appear in the Membership Directory.

Organization Web Page (URL Address):

Prefix :

Please indicate Mr., Mrs., Ms, etc.

First Name:

Last Name:

Title:

Address 1:

Address 2:

City :

State:

Zip Code:

Phone (and phone ext. if applicable):

Fax:

Email :

Main address for communication with DWN.

Type of Work:

Civil Rights/Civil Liberties

Criminal justice

Immigration

Labor Rights

Social Services

Advocacy

Academic

Community Organization/Education

Faith-based

Litigation

Legal Services

Law School Clinic

Visitation

N/A

Program Budget: *

Organizational member dues are calculated as 0.2% of your organization’s “Enforcement, Detention, Deportation program” budget (0.002 x Organization’s Program Budget). See Renewal FAQs for help in determining your budget. Please note this information is necessary in order to assess your organization's membership dues.

Refer a Friend!:

Do you know of any colleague organizations or individuals who may be interested in joining DWN? Refer 3 friends and if at least one joins, you will receive a future discount on membership!