Application for
(nonvoting) Observer status in
UNITED STATES INTERNATIONAL

(Version for individuals; organizations/websites should fill out this application.)
(Please download this application, fill in the blanks (deleting both the blanks and the bracketed instructions), then email the completed application to our Webmaster)

Reservations about USI’s goals:

I do not [presently] advocate geographic enlargement of the United States by the grant of statehood. I am, however, interested in the work of USI, and wish to be listed as an Observer on USI’s "Members" page.

Publicizing USI:

I agree prominently to identify myself as an Observer of United States International on my website and to provide a clickable hyperlink to USI’s website.

Liaison information:

Please contact me at _______________[email address]. Should that address change, I will notify USI promptly.

_____________________[Name of individual]

_____________________[Title within organization]

_____________________[Date]

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