"Stop CSE" Partner Application

Date

I want to become a "CSE Partner" on behalf of:*

I want to become a "CSE Partner" on behalf of:

Name of Partner*

Name of the individual or organization.

Name of person completing this form:

If you are joining on behalf of an organization or other entity you must be an authorized representative of the organization.

Phone*

Email*

Country*

City*

State

Canadian Province

State/Province

Website

Description of your group/organization (if applicable)

Logo

Accepted file types: jpg, gif, png, pdf, Max. file size: 2 MB.

How would you like to partner with us?

Select one or more ways you would like to become a "Stop CSE" Partner.

Option 1

Option 2

Option 3

Option 4

Option 5

Option 6

Option 7

Would you also like to receive emails from Family Watch International on CSE and other issues that impact the family?

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