Application for
(nonvoting) Observer status in
UNITED STATES INTERNATIONAL

(Version for organizations/websites; individuals 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 USIntl@netscape.net)

Name of organization:

___________________________________

Reservations about USI’s goals:

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

Publicizing USI:

We agree prominently to identify ourselves as an Observer of United States International on our website and to provide a clickable hyperlink to USI’s website.

Liaison information:

We designate __________________[name of person], ____________[title within organization], as our liaison to USI and other USI members. S/he can be contacted at _______________[email address]. Should that address or contact person change, we will notify USI promptly.

_____________________[Name of individual]

_____________________[Title within organization]

_____________________[Date]