Organization Name

Mailing Address

Street

City

State/Province and Postal Code

Country

Business Address
(if different)

E-mail

Web site

Phone

FAX

Contact person(s)

Mission Statement
(50 words or less)

Year organized

Principal Issues
(Select all that apply, up to 7 items total)

Arms Control Treaties
Comprehensive Test Ban Treaty
Citizen Involvement
De-alerting Nuclear Arsenals
Nuclear Arsenal Inventories
Nuclear Arms Policies/Postures
Nuclear Deterrence Theory
National Missile Defense
Non-Proliferation Treaty Regime
Nuclear Terrorism
Nuclear Weapons Abolition
Nuclear Weapons Costs
Strategic Nuclear Weapons
Stockpile Stewardship/Warhead Dev.
U.N. Disarmament Activity Status
Varied Across Broad Spectrum

Principal Activities
(Select all that apply, up to 7 items total)

civil disobedience
citizen protests
documented studies
e-mail news service
event promotion
group networking
issues analysis
issues education
lobbying congress
media briefing
media resources development
periodicals;newsletters
position papers/reports
public speaking
web site

Principal Revenue Sources

Membership Dues/Contributions
Grants
Sales of Products/Services
Other:

Number of Board Members

Number of Advisors

Number of Staff

Number of Members

Officers (Names and Titles)

Affiliate Organizations

Media Produced
(Periodicals, newsletters, e-lists, radio, TV, videos, etc. List names, type, and frequency.)

Additional Information
(100 words or less)