SAA Coalition (SAAC) Sign-Up Form

All information is kept confidential to the Patriot Union of America and the SAAC  administrator. All SAAC Members will receive the SAAC Newsletter (free of charge). 

Organization / Group Name 

Primary Political Focus (List up to 2 - i.e. Immigration, NAU, etc.) 

Address 

City 

State (i.e. CA, NY)

 Zip Code (00000-0000)

Org. Area Code / Phone (000-000-0000)

Org. Area Code / FAX (000-000-0000)

Org/Group Main Web Site 

Org/Group E-Mail Address

Main Contact First Name 

Main Contact Last Name 

Main Contact Job Title  

Main Contact Person E-Mail Address

Main Contact Area Code / Phone (000-000-0000)

Main Contact Area Code / FAX (000-000-0000)

What Is Your Top Organizational Strength?

Building volunteer networks Organizing generally Leading local rallies Communications Web mastering Public relations Legal work Lobbying Research and documentation Poltical analysis and strategy Net-video production & posting TV commerical production Radio spot production Public speaking / spokespersons Information management Printing (commerical) Offer free advertising to SAAC Other

Next Best Organizational Strength?

Building volunteer networks Organizing generally Leading local rallies Communications Web mastering Public relations Legal work Lobbying Research and documentation Poltical analysis and strategy Net-video production & posting TV commerical production Radio spot production Public speaking / spokespersons Information management Printing (commerical) Offer free advertising to SAAC Other

Third Best Organizational Strength?

Building volunteer networks Organizing generally Leading local rallies Communications Web mastering Public relations Legal work Lobbying Research and documentation Poltical analysis and strategy Net-video production & posting TV commerical production Radio spot production Public speaking / spokespersons Information management Printing (commerical) Offer free advertising to SAAC Other

List Any Additional Assistance Or Resources That Your Group 

Wishes To Offer SAAC

Can we list your Org name and Web address (only) on the 

SAAC Web pages and other advertisements 

for the SAAC

yes no

Would You Like To Pledge Funding To Aid The SAAC Project? 

$ $100-$500 $501-$999 $1,000-$2,500 $2,501--$5,000 $5,001-$7,500 $7501-$9,999 $10,000 or more

Would You Like To Become A PUA Umbrella Affiliate 

And Offer Your Members PUA Umbrella Memberships  

Toward Earning Funds For Your Org/Group?

  yes no maybe

By submitting this form, you agree to the following: 1) You are authorized by your organization to sign-up for SAAC, 2) Your organization/group (or individual) agree/s to abide by SAAC's policies regarding SAAC and SAA (to be formulated by SAAC members and given to you at a later time).

Opt-Out Anytime

Privacy Respected!