Join MIV Today!

Please fill out the below form to join MIV as a new partner organization. You may download and fax back the form instead: New Partner Sign-On Form

Yes! My organization signs on to the Mobilize the Immigrant Vote (MIV) Campaign!

My organization will:

Support MIV's mission increase immigrant civic engagement and voter education, and endorse the MIV Immigrant Voices Platform
Note: Signing on as an MIV Campaign Partner DOES NOT mean you must endorse the stances MIV takes on Statewide Ballot Initiatives in past or future MIV Voter Guides.
Get FREE access to MIV's multi-lingual electoral training and voter education materials. November 2010 Elections materials will available for download by early September 2010.
Agree to fill out one post-elections online survey in November 2010 to help MIV document immigrant efforts statewide and to get feedback for future work.

Organization Name

Organization Type

	a 501(c)(3) nonprofit
	fiscally sponsored by a a 501(c)(3) nonprofit
	Other:

Address
	Street	City	State	Zip

Head of Organization
Who oversees the organization? For example: Executive Director, President, Chair, etc.

Primary Contact
Who should we contact for your organization’s electoral work?

Same person as Head of Organization

Which immigrant communities will your organization outreach to for voter education in 2010, if any?

Which voter education and mobilization activities is your organization interested in conducting?

In which precinct(s) or geographic area(s) will your organization conduct electoral field work?

Donations are greatly appreciated!

My organization:

Choose a payment option:

	Check (Write the check to PILA/MIV and mail to: 1305 Franklin Street, Suite #250, Oakland, CA 94612)
	Will pay online with PayPal

Do you have any other requests/comments? Please write them below:

__NORICHEDITOR__

	Voter Registration
	Education Materials Distribution
	Education Workshops
	GOTV (Phone Banking, Door Knocking)
	Other