Submit Your Organization

Pennsylvania Leadership Listing Request Form

If your organization is interested in submitting their contact information, please complete the form below. All submissions are subject to approval. Thank you.

Organization Name:*

Website Address:*

Contact Name: *

Contact Email:*

Executive Director Name: *

Executive Director Email: *

Committee Name 1:

Committee Leader's Name 1:

Committee Leader's Email 1:

Committee Name 2:

Committee Leader's Name 2:

Committee Leader's Email 2:

Committee Name 3:

Committee Leader's Name 3:

Committee Leader's Email 3:

Committee Name 4:

Committee Leader's Name 4:

Committee Leader's Email 4:

Committee Name 5:

Committee Leader's Name 5:

Committee Leader's Email 5:

Committee Name 6:

Committee Leader's Name 6:

Committee Leader's Email 6:

Committee Name 7:

Committee Leader's Name 7:

Committee Leader's Email 7:

County: *

City: *

State:*

Zip Code: *

Comments:

You will receive a passcode and password once you
have been approved. This information is confidential.

UNITEPA PRIVACY POLICY

Will my personal information be shared with or sold to any
other organizations?

Your personal information is not shared with anyone outside this website.  Only your
organizations name, website address, email and contact will be listed (including committees if requested). 
Upon receipt of your "listing request", UNITEPA will contact you to notify you of your listing
approval or as it pertains to your account. 

UNITEPA does not sell or rent any personal information to, or otherwise share any personal
information with, any unrelated third parties. 

Links to other sites?
 
This site contains links to other web sites.  These links to other web sites take you outside our service,
and the content, policies and practices of other sites are beyond our control. These links are provided
solely for your convenience and information.  UNITEPA is not responsible for the privacy
practices or the content of such web sites.

Code of Ethics? 

UNITEPA was developed to aid grassroots organizations, that share common principles and values,
 in communication and networking. Each organization is responsible for adhering a code of ethics by not utilizing
this database outside the parameters of grassroots organizing and networking.  This website is not to be used
as a source for your personal sale of goods or services.  No soliciting allowed. If your organization
cannot abide by the "code of ethics", you will be removed.  

UNITEPA does not have a governing body or have the intention of creating a coalition. 
UNITEPA is simply a resource.  The rest is up to you to make connections and develop community relationships.


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